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PRICE T IE 1ST CENTS 



BRIEF ESSAYS 



cc ^0c^< 



ON 



PREVALENT 

CHRONIC DISEASES 



INCLUDING 



CONSUMPTION,'NASAL CATARRH, BRONCHITIS, 
ASTHMA, DYSPEPTIC DISORDERS, URI- 
NARY COMPLAINTS, SCROFULA, 
SKIN DISEASES, FEMALE 
COMPLAINTS, &c M &c. 



BY 



J. W. SYKES, A. M., M. D. 

Exclnsiie Practitioner in Chronic Diseases, 
193 PENN AVENUE, PITTSBURGH, PA. 



PITTSBURGH : 
g PRINTED BY SAM'L F. KERR, 3000 BUTLER STREET, COR. Goth. § 

\ r / lfc74 - - fiA 

N>20- O0 cc^O^k 



CONTENTS 



PAGE. 
<y O 



Catarrh— Its J\ atur » 

Nasal Catarrh 4 

Chronic Sore Throat 5 

Laryngitis - - - - - - - G 

Bronchitis G 

Treatment of Catarrhs 8 

Asthma or Phthisic 10 

Consumption, Tubercular 12 

Causes of Consumption IS 

Nature of (Preliminary Stage) - 13 

" " " (Pulmonary Stage) - H 

Curability and Treatment of Consumption lo-lG 

Heart Diseases 17-18 

Dyspepsia, Liver Complaints, etc. 19 

Urinary Disorders 28 

Female Complaints 2G 

Scrofula and Skin Diseases - 28-29 

References and, Testimony - 80-47 

Concerning Testimonials Jfl 

Duration of Treatment Jf8 



BKIEF ESSAYS 



OX 



PREVALENT 



CHRONIC DISEASES 



IN'CLl'WXG 



CONSUMPTION, NASAL CATAEEH, BRON- 
CHITIS, ASTHMA, DYSPEPTIC DISOB- 
DEES, ITEINAEY COMPLAINTS, 
SCEOFLLA, SKIN DISEASES, 
FEMALE COMPLAINTS, 
ETC., ETC. 



EY 



J. W. SYKES, A.M., M.D, 

EXCLUSIVE PEACTITIOXEE IX CHROXIC DISEASES, 

191 Penn Avenue, Pittsburgh, Penn'a. 






PITTSBURGH: 
PRINTED BY SAML F. KERR. 3000 BUTLER STREET. COR.'tRIETYSIXTH 



1S74. 



.5? 



3 ' « 



INTRODUCTORY. 



THIS Pamphlet is designed to serve as a Business Circular 
whereby, inquiring invalids can learn something concerning the 
writer and his method of treating CHRONIC DISEASES,— a 
subject to which he has devoted his entire professional life. 

He wishes it to be particularly noticed that he gives his atten 

TION, EXCLUSIVELY, TO A LIMITED RANGE OF CHRONIC DISEASES. 

In this respect, Dr. Sykes believes that he stands alone in this 
locality, and he deems it but fair to ask the public, not to class nini 
with those who profess to cure LuDg Diseases by Inhalations, nor 
with Druggists who pretend to be Physicians, for the purpose of 
selling Lung Cures and other Patent Medicines, — nor yet with those 
who claim ability to detect and cure all diseases solely by an exam- 
ination of the Urine. 

In short, the writer of these pages asks to be judged solely by his 
own acts, and not by the dishonest practices of others. 



Entered according to Act of Congress, in the year 1874, 

By J. W. SYKES, A. M., M. D., 

In the Office of the Librarian of Congress at Washington. 



BRIEF ESSAYS 



OX 



PREVALENT CHRONIC DISEASES, 



CHRONIC DISEASES 
OF THE RESPIRATORY ORGANS. 

Diseases of the Breathing organs include Nasal Catarrh, 
Pharyngitis or Sore Throat, Laryngitis, Bronchitis, Asthma, Con- 
sumption and Chronic Pneumonia. The last three are Lung or Pul- 
monary affections, while the others are located in the passages and 
tubes leading to the Lungs. 

Before describing these diseases separately, it is important to 
call attention to the fact that Nasal Catarrh, Pharyngitis, Laryngitis 
and Bronchitis are -essentially the same disease, and a few prelimi- 
nary remarks on the nature of 

CATARRH IN GENERAL, 

will clear away much obscurity which otherwise would exist in 
describing the same affection under so many different names. 

The term Catarrh is derived from two Greek words, signifying 
"to flow down," it consists of an inflammation (acute or chronic) of 
the lining membrane of the Nose, Throat or Bronchial tubes, and 
the formation of a slimy secretion called Mucus, which in the 
Larynx and Bronchial tubes is expectorated by coughing. 

The membrane thus affected also lines the mouth, ^Esophagus or 
Gullet, Stomach, Bowels and Urinary passages, and is everywhere 
liable to Catarrh, which, in the Stomach, is called Gastritis, in the 
small intestines Diarrhoea, in the large Bowel Colitis or Dysentery, 



and in the lower portion of the same it is termed Elenorrhoea, while- 
in the Bladder it is named Cystitis, and in the Uterine passages it is- 
Leucorrhea. This same membrane also lines the eyelids, and covers 
a portion of the eye, and Catarrh here is called Ophthalmia. 

The application of so many names to a single disease has had a 
confusing effect, not only upon the public mind, but also on the minds 
of medical practitioners, many of whom entertain the erroneous idea 
that a variety of diseases is indicated, and vary their treatment ac- 
cordingly. 

Again, the lining membrane which is the seat of Catarrh is- mis- 
named the mucous membrane, whereas there is no mucus upon it 
except when diseased. It is thus that medical science is burdened 
and impeded by a useless and unscientific nomenclature, and the 
medical dictionary rivals Webster's unabridged in bulk. 

The mucous membrane which lines all the cavities of the body 
(where air may have access) is like the external skin in structure, and 
analogous to it in its functions, hence, Catarrh is properly an internal 
skin disease, and icherever it occurs should be viewed as such, and 
treated accordingly. We do not consider it proper to treat external 
skin diseases by local remedies alone, but use means to cleanse the 
blood, and the same principle should be observed in treating diseases 
of the internal skin. 

But, as an external tetter presents a different aspect on the face 
and hands from that shown on parts covered by clothing, so Catarrh 
in different localities exhibits diverse characteristics, and hence there 
is a partial necessity for considering it under its different designa- 
tions, and we therefore, for the present, adhere to the existing names 
and come now to consider 

NASAL CATARRH. 

Chronic Nasal Catarrh consists of inflammation of the lining 
membrane of the nasal passages, and the formation therein of 
mucus, which partially or completely fills the cavities, and renders 
breathing through the nose more or less difficult. The secretion is 
dislodged either externally by blowing the nose, or else into the 
throat by snuffing and hawking ; if it is not cleared away daily, 
it accumulates, causing a disagreeable feeling of distention and full- 
ness, and in a short time decomposes, and becomes exceedingly offen- 
sive, and gives rise to temporary acute inflammation with pain between 
and above the eyes, and sometimes in the cheek bones. 

In this process the matter, softens- and is discharged in a 



terribly foul condition, and then the accumulation begins again, and 
the fetid gathering is repeated. In some cases the lining membrane 
of the nasal cavities is destroyed, and the bones of the nose and face 
become affected. This description applies to the more severe form 
of the disease, occurring not infrequently; but happily in a majority 
of instances, it pursues a milder course, and the discharge does not 
become offensive, or obstruct the passages, but falls back into the 
throat and causes an almost constant hawking and spitting. In all 
cases the irritation, sooner or later, extends downward, affecting the 
throat and passages below. Nasal Catarrh is an eminently curable 
disease but it is not curable by local treatment alone, and all attempts 
to cure it by snuffs, washes fumigations, inhalations, injections, 
douches, &c, must end in disappointments. It is only when appro- 
priate local remedies are used in connection with suitable constitu- 
tional treatment that recovery can be anticipated. No mere routine 
will suffice, but every case must be treated according to its own pecu- 
liarities and wants. In every case the blood must be cleansed, the dis- 
position to take cold removed, and the general health and vigor im- 
proved as much as possible before the Catarrh will be radically cured. 
In short, as it has been well expressed, Nasal Catarrh is not a dis- 
ease of the nose, but of the man, and the man must be made well in 
order to cure the Catarrh. 

CHRONIC SORE THROAT. 

This disease also called Chronic Throat-ail, Clergyman's Sore 
Throat, and in medical books Chronic Pharyngitis, is a catarrhal in- 
flammation of the Pharynx, or that part of the throat which can be 
seen through the open mouth. 

In itself Chronic Throat-ail is not dangerous, but situated in the 
pathway to the Lungs, its natural tendency is to extend thitherward 
•and to assume a serious character. It is a very prevalent disease, 
often existing for months unsuspected, because unfelt, except when 
a cold temporarily aggravates the irritation, and gives rise to a degree 
of soreness, which the enfeebled nerves of the part can feel : as the 
cold subsides, the sense of soreness ceases and the throat is supposed 
to be well ; but the chronic inflammation remains and may be known 
by the following symptoms: 

There is generally more or less hawking in the morning of a clear 
or frothy mucus, and very little during the day ; in many cases the 
Uvula or soft palate is relaxed and touches the root of the tongue, 
causing a constant inclination to clear the throat. There is also much 



tendency to dryness which extends to the- posterior nasal cavities and' 
is attended with itching. Bat the presence of this disease can always- 
be determined by inspection which every person should learn to make 
for themselves by the aid of a mirror and strong- daylight. 

The color of a healthy throat is a uniform lively pink, the sur- 
face smooth and moist, and no blood vessels are visible. In a dis- 
eased throat the color is pale, with patches or streaks of red. and 
numerous small blood vessels are visible, while the surface has a 
roughened appearance or may present patches of swelled or thickened 
membrane of dark red color, or small pimples, or w^art-like elevations 
of pale hue, which, in bad cases, become the seat of ulceration. 

In persons of good constitution, and fair general health, this 
Chronic Throat-ail may for several years remain nearly stationary, 
but ultimately, and in many cases speedily, it extends down into the 
windpipe and Bronchial tubes. 

LARYNGITIS. 

Catarrh of the Larynx, though rarely existing except in connec- 
tion with disease above and below this organ, yet requires separate 
mention because of the importance of the Larynx (organ of the voice) 
and because here it becomes in many cases complicated with tuber- 
culous disease or Consumption. 

Laryngitis is characterized by hoarseness or loss of voice, with 
soreness and pain which is aggravated by efforts to speak, with dis- 
tressing dryness and heat, and often a violent cough. When nut 
complicated with tuberculous disease, Laryngitis is amenable to 
treatment and very curable. In this disease, Inhalations of medicated 
vapors are of great value when used in connection with judicious 
general treatment, for cleansing the blood and increasing the vigor of 
the system generally. 

Any merely local treatment vvl ether by Inhalations- or otherwise, 
will afford only temporary relief and the ordinary practice of burning 
out the throat with nitrate of silver hastens the disease to a fatal 
termination. 

BRONCHITIS. 

Just behind the upper part of the breast-bone the windpipe 
(Trachea) terminates in two branches (Bronchi) one to each lung. 
Immediately on entering the LuDgs these Bronchial tubes are sub- 
divided into smaller branches, and h subdivision is repeated until, 



the ramifications reach every portion of the Lungs, and the smallest 
tubes numbering thousands are scarcely larger than a hair, and hence 
are called Capillary Bronchi. 

Bronchitis, or Bronchial Catarrh is an imflammation of the lining 
membrane of a part or all of the Bronchial tubes. When it occupies 
only a part of the larger Bronchi it is termed Local Bronchitis, and 
when it extends into the minute tubes is called Capillary Bronchitis. 
Other terms, such as Secondary Bronchitis, indicating that it is the 
result of some other disease, Plastic Bronchitis, denoting the nature 
of the Bronchial secretion, Senile Bronchitis, Winter Bronchitis, 
etc., do not require further mention here. It will thus be seen that 
the term Bronchitis refers to the location of the disease and not to its 
nature, and hence the phrase "Bronchitis in the throat'' is an improper 
expression. 

The Causes or Bronchitis or Bronchial Catarrh are numer- 
ous, and the disease varies in character according to the nature of the 
causes producing it. The most frequent cause is the gradual 
extension of Catarrh of the head and throat downward into the 
Bronchi. 

Occupations involving the inhalation of dust, smoke, foul air, 
etc., give rise to a very serious form of the disease termed Mechani- 
cal Bronchitis and Miner's Bronchitis. It also often originates in "a 
cold in the chest" when it is at first acute, and then lapses into the 
chronic form. Secondary Bronchitis may be caused by any disease 
affecting the character of the blood. Hence more or less Bronchitis 
exists in connection with Consumption, Gout, Bheumatism, and vari- 
ous skin diseases are also its frequent causes. In many cases the 
"curing" of a Salt Rheum or Tetter by the application of a mineral 
ointment or wash is immediately followed by a cough, and other evi- 
dences of Bronchitis, in other words, the disease being in the blood, 
if repelled from the external skin breaks out on the inner surface. A 
cold may also cause an external tetter to disappear and locate itself 
internally in the form of Bronchitis. 

Winter Bronchitis is often due to this cause, those affected by it, 
coughing and expectorating during winter and suffering from form of 
skin disease in summer. 

The Symptoms of Bronchitis also vary greatly according to its 
causes. In every variety of the disease there is cough, slight and in- 
frequent in some cases, and in others violent and constant. The ex- 
pectoration varies in appearance from transparent mucus, . like the 
white of an egg^ and more or less frothy, to thick, heavy, yellow or 
greenish, and sometimes bloody matter. The quantity raised maybe 
so scanty as to be scarcely noticeable, or may amount to a pint or 



more daily. When the quantity raised is excessive the disease is 
sometimes called Bronchorrhoea, There is rarely any pain, but in 
most cases more or less oppression or tightness of the chest, with 
difficult breathing. In some cases Hemorrhage occurs either from 
ulcers in the tubes tapping a blood-vessel, or from congestion, arising 
from irregular action of the heart. Sometimes the general health re- 
mains comparatively good for a long period, but sooner or later 
emaciation and debility ensue. 

In most cases, however, the nature of the disease cannot be posi- 
tively determined by the symptoms, but requires an examination of 
the chest by Auscultation and Percussion. 



Treatment of Catarrhal Affections. 

The observance of certain general principles is essential to the cure 
of Catarrh, wherever it is located. 

In the first place, the habit of taking cold on every slight exposure 
must be broken up or cured. 

This requires the use of baths, frictions, etc., to increase the vigor 
of the outer skin and render it more hardy. But it is necessary to 
exercise care and judgment in adapting the remedies to the require- 
ments of each case. A cold bath which would invigorate one person, 
might debilitate another. Hence, the frequency and manner of bath- 
ing should be carefully prescribed in each case. 

Regular and systematic exercise in the open air is also indispensa- 
ble in overcoming the tendency to take cold. This should be taken 
in most cases daily, and almost regardless of weather, but in every 
case the utmost care should be taken to avoid getting wet or chilled, 
and the amount and manner of exercise should be prescribed with 
reference to the peculiarities of the case. No exposure however, se- 
vere, is so injurious as confinement indoors, and the fear of taking 
cold, which deters invalids from going out except in fair weather 
renders them increasingly liable to colds. The proper ventilation of 
sleeping rooms is also essential to success in treating Catarrh — the 
most injurious night air is always in the house, and it is necessary to 
admit an abundance of the fresh out door air in such a manner as will 
not make the room uncomfortably cold. 

In addition to the foregoing measures, it is necessary in many cases, 
and advisable in all, to wear all wool under garments during the 
whole year. In summer the flannels may be lighter than in winter, 
but should be all wool : it is doubtful whether the color is of any im- 
portance. 



Secondly. Catarrh, being an internal skin disease, its cure requires 
that a radical improvement be effected in the state of the blood. 
Bathing, frictions, exercise, etc., as above described, conduce power- 
fully to this end, because they not only render the external skin more 
hardy, but also make it more active in exhaling waste and morbid 
products from the blood, and thus preventing the inner skin or mucous 
membrane from being overloaded and weakened by an undue propor- 
tion of this waste matter. The condition of the digestive and blood- 
forming organs must also receive attention, and all dyspeptic disor- 
ders be remedied. 

This involves systematic attention to diet drink, etc., and specific 
medicines suited to the symptoms of each case. 

Thirdly. All special causes of Catarrh must be avoided ; among 
these may be mentioned, the inhalation of impure air, dust, smoke, 
etc., also sleeping with the mouth open, taking hot drinks, eating 
too rapidly, etc. After a careful adaptation of general treatment m 
each case, we have to institute suitable 



Local Treatment. 

In Nasal Catarrh the cavities and passages must be kept clear of 
accumulation, and detention of mucus, and appropriate medicines ap- 
plied by means of Douches or Syringes. Per twenty years I have 
used, in cases requiring it, a Syringe with a long curved pipe to be in- 
troduced into the mouth and pointed upward behind the palate, 
whereby the wash or medicine can be thrown forward into the nose 
and thus reach surfaces not accessible through the external nostril. I 
have used this form of Syringe made of silver, of glass, and of hard 
rubber, and it has been in use by the medical profession generally. 

The medicines for the local treatment of Catarrh must be such as 
invigorate the weakened memlirane, and stimulate to healthy action. 
In Nasal Catarrh they may be applied in a fluid form, or in powder 
as snuffs — in nearly all cases the liquid form is preferable. 

In Pharyngitis or sore throat, suitable medicated G-argles, Washes 
and Inhalations can be used. In Laryngitis and Bronchitis, medi- 
cines can best be applied by means of Inhalations either of vapor or 
spray. Astringent or "drying" remedies in Nasal Catarrh are not 
curative, as they merely suppress the discharge without removing 
the cause, and their use maybe dangerous, as the sudden suppression 
of Catarrh in the head is sometimes followed by disease of the Brain. 
Likewise the use of Caustics in the throat tends to drive the disease 
down, and is a fruitful cause of Laryngitis and Bronchitis. 



10 

ASTHMA, or PHTHISIC. 

This should be defined rather as a disease of the Chest, than of 
the Lungs. It consists in a deranged action of the nerves of the 
chest, diaphragm, and bronchial tubes, whereby respiration becomes 
distressingly difficult, and attended with loud wheezing. It is usual- 
ly associated with more or less Bronchitis, and consequent cough 
and expectoration. It is not often a continuous disease, but occurs in 
paroxysms of longer or shorter duration. The attacks usually come 
on during the night — the patient retires apparently in ordinary health, 
and after a few hours is awakened by difficulty of breathing, threat- 
ening suffocation, and is often compelled to rise and remain in a sitting 
posture until morning. 

The inspiration of breath seems to be more free than the expira- 
tion, and the Lungs become distended to their utmost capacity, and 
in extreme cases, some of the air cells are ruptured, forming rents 
and cavities, and irreparably injuring the action of the Lungs. 

This is termed Emphysema of the Lung. It is an incurable con- 
dition, and involves the continuance of " Phthisical breathing " 
during life. The chief peculiarity of Asthma is its occurrence in 
periodic attacks, followed by intervals of complete or comparative 
health. In some cases the attacks are frequent and protracted, in 
others they are brief and followed by long periods of freedom. 

One form of the disease known as Hay-fever or Autumnal Asthma, 
occurs annually. In Europe it prevails in June and July, but in this 
country its season, in nearly all cases, is between August 10th and 
October 1st. It is estimated that fifty thousand persons in the 
United States are subject to this singular affection. It differs from 
the more common forms of Asthma, in commencing like a violent 
cold in the head, with excessive sneezing and discharge from eyes 
and nose, for several days before the wheezing sets in, and in some 
cases the head symptoms continue during the w T hole period of the 
disease. 

To chronicle all the curious caprices and peculiarities which different 
cases of Asthma present, would require much greater space than the 
limits of these essays will permit. 

The Causes of Asthma 

are numerous and various. It is eminently a hereditary disease, and 
often appears at birth. In other cases a tendency only is inherited, 
which is developed by various causes. Among the most frequent 
are occupations involving exposure to foul air, dust, and irritating 



11 

teases. Other diseases, such as Dyspepsia, Female Complaints, Skin 
Diseases, Heart Diseases, may cause Asthma. Iu some cases Salt 
Rheum, or some other form of Tetter occurs alternately with Asthma, 
the skin disease appearing in the Summer and the Asthma in the 
Winter, or vice versa. 

Curability of Asthma. 

This distressing disease is completely and permanently curable, 
even in cases of many years standing; and yet there is probably no 
form of Lung disease which so generally baffles the practitioner and 
is so generally voted incurable by the medical profession. I have 
witnessed the complete recovery of cases of from six to thirty-five 
years' standing, and the fact that some of these cases have remained 
well for seventeen years, justifies me in asserting its entire curability 
in many cases. 

In order to cure Asthma, that careful adaptation of treatment to the 
varying necessities of each case is requisite, which can only be 
effected by special study and special experience ; and the general 
practitioner, however great his attainments, cannot give sufficient 
time to the few cases coming into bis care to acquire this special 
skill. 

Moreover, it is necessary, in treating Asthma with a view to curing 
it, to pursue the treatment during the intervals of freedom from the 
disease, which occur in nearly every case. The use of some inhalant 
or smoking powder, or of any remedy which relieves the difficult 
breathing, will never cure the disease. 

In order to effect a lasting and complete removal of it, a radical 
change in the condition of the blood, and a general toning up of the 
nervous system, must be effected, and this necessarily requires time. 
Asthma is nearly always a chronic disease, and requires chronic or 
protracted treatment, varying in different cases, from three to six 
months. 

The proper treatment is invigorating and need not interfere with 
any ordinary avocation,. 



12 



Tubercular Consumption. 

This dread malady, though more avoidable and preventible than, 
any other serious disease, and fully as curable as any, yet carries 
one-fifth of our adult population to premature graves. It is equally 
prevalent and fatal throughout the civilized world. In the United 
States about one hundred thousand persons die annually of Consump- 
tion, and in Europe it destroys more than half a million in the same 
period. 

Its prevalence is due to the fact that it is caused by errors in the 
mode of life and habits of civilized people. Its fatality is owing firstly, 
to an almost universal oversight of its early and most curable stage, 
and secondly to the general absence of any rational and systematic 
method of treating it. 

If the "-nedieal profession deemed it a duty to point out the causes 
of Consumption, and to recognize and treat it during its preliminary 
stage there would be few deaths from it, and it would cease to be a 
familiar disease. But unfortunately there seems to be little disposition 
on the part of Physicians to impart information concerning the causes 
of this or any other disease. 

And as if conscious of inability to institute curative treatment, many 
assert that this disease is essentially incurable, and discourage pa- 
tients from making proper efforts to regain health. 

Again Consumption is an unfelt disease — the Lungs have no nerves 
and hence no ability to feel pain, or to transmit depressing influences 
to the brain : this is the reason why consumptives are unconscious ot 
their danger, and prone to defer and neglect treatment until too 
late. They affirm that they "feel first-rate " and are getting better, 
while daily nearing the grave. Physicians, too, often encourage them 
in this groundless hopefulness by assuring them that their lungs are 
well, when they know them to be seriously affected. I am not aware 
that any medieal writer has heretofore called attention to the anatom- 
ical cause of this well known characteristic of consumption, and yet 
it is of vital importance, and its general recognition would do much 
toward abating the ravages of the disease. 

Let it be generally understood that the Luogs have no nerves and 
hence no proper sense of feeling, that in fact it is possible for an entire 
Lung to become diseased, — literally destroyed, — and yet no pain or 
general depression be felt — and there w^ould follow in the public- 
mind a disposition to give due importance to the early indications of 
the disease, and to resort to treatment while it is most curable. 



13 

The Causes of Consumption. 

The proximate and essential cause in nearly all eases is Defective 
Respiration, and this results from a variety of conditions and habits 
of civilized life. One of the most frequent and fruitful is that of 
sleeping in closed and ill ventilated rooms, whereby the air is poi- 
soned and repeatedly inhaled during sleep, when the power of the 
skin to throw off this poisonous matter is enfeebled. 

Another very general cause is confinement to indoor life and occu- 
pations, and especially those of an inactive sedentary character, 
whereby the chest-muscles become feeble and respiration is defective. 
To these causes are added a variety of circumstances and conditions 
calculated to deteriorate the blood and impair the strength. The more 
common of these are insufficient food and clothing, excessive use of 
tobacco and other stimulants, excessive indulgence of the sexual ap- 
petite, prolonged nursing, habitual coldness of feet, sleeping with 
mouth open, the use of hot drinks, &c. Concerning 

The Nature of Consumption, 

The great truth cannot be too well learned that, it is not a disease 
of the Lungs merely, but exists in the blood and system at large, 
for some time before it breaks out in the Lungs, or elsewhere in the 
form of tubercle. 

During this preliminary stage the disease is nearly always curable, 
but as above stated it is rarely noticed and more rarely treated, and 
hence passes unchecked into the tuberculous stage. In the prelimin- 
ary stage the blood is deprived of a large portion of its red globules 
and becomes charged with the elements of tubercle. But the tuber- 
cles are not yet found in the Lungs, and hence the disease cannot as 
yet be detected by Stethoscopic examination of the chest. But it 
may generally be recognized by its symptoms. Among the earliest 
of these, is a slow, gradual diminution of muscular vigor, which tlie 
patient is unable to account for, but which renders him unable to 
endure exertions which formerly were not difficult, and there is, con- 
sequently, a gradually increasing shortness of breath. With the loss 
of strength, but not always as early, there is a corresponding loss of 
flesh. The pulse loses its softness and fulness, and becomes more 
rapid than in health. The complexion becomes sallow and pallid, the 
features sharpen and their expression is careworn, though animated. 
Added to these, is the blind hopefulness, before mentioned, which 
often causes the patient to ridicule or resent any allusion to the idea 
that he is in danger of Consumption. 



14 

Dr. Cotton, of the Brompton Hospital for Consumptives, near 
London, England, says of this symptom: " So general is this almost 
instinctive blindness to the cause of distress, that if absent, other 
symptoms, however suspicious, may be regarded as unconnected with 
Phthisis." But Dr. Cotton seems not to have noticed that this false 
hopefulness is wanting in Consumptives who are also dyspeptic. The 
digestive organs are supplied with numberless branches of the great 
sympathetic nerve, which convey the distressing sensations caused by 
Dyspepsia to the brain, causing depression of spirits, fears of Con- 
sumption, etc., also giving rise to pain in the chest and other parts 
of the body. 

It is important to bear in mind, that during the primary stage of 
Consumption, there is often neither cough nor expectoration. 

Pulmonary Stage. 

Sooner or later the diseased blood begins to deposit its morbid 
matter in and between the air-cells of the Lungs, in rounded par- 
ticles, varying in size, from that of a mustard seed to that of a large 
pea. These particles are called tubercles, which word primarily 
signifies, 'a little ball.' Tubercles are composed of a yellowish and 
greyish substance, of a cheesey consistence ; it is unorganized or 
■dead matter, and, as splinters in the external flesh inflame and fester 
it, so these tubercles inflame and destroy, by ulceration, the delicate? 
lace-like Lung-tissue enclosing them. In about ninety-eight per cent, 
of all cases of Pulmonary Consumption, tubercles are first formed at 
the summit of one or both Lungs, and thence extend downward. 
The deposit occurs here first, because this part of the Lungs first 
fails to breathe and exhale away the impurities constantly brought 
to them by blood. By inaction and sedentary habits, or otherwise, 
the muscles of the shoulders and upper part of chest become enfeebled 
— the upper ribs and collar bones settle in and rest against the sum- 
mit of the Lungs, and respiratory action is diminished, or wholly 
ceases. 

In a majority of cases, the disease is confined to one Lung, which 
is gradually destroyed from the top downward, until the system is 
exhausted and death ensues. 

The symptoms of the Pulmonary stage of Phthisis are too well 
known to require detailed description here. There are very few 
persons of adult years who are not sadly familiar with the racking 
cough, the emaciation, the spitting of blood, the hectic fever, chills, 
sweats, and other characteristic features of the later stage of the 
disease. 



15 



Is Consumption Curable ? 

It is almost invariably curable in its incipient stage, and quite fre- 
quently so after tubercle has commenced forming in the Lungs, and 
occasionally, though rarely, a cure may be effected in the advanced 
stage of the disease. 

That Consumption is curable even after the Luugs have become 
affected and partiallv destroyed, is conclusively shown by the dis- 
covery of healed cavities and scars in the Lungs of persons who have 
died of other diseases. Dr. Carswell, of London, examined the Lungs 
of seventy-two persons who had died of other diseases, and in twelve 
found scars where ulcers had formerly existed, proving^ beyond a 
doubt, that these patients had, at some previous time, been cured of 
advanced consumption. Bodet, of Paris, in one hundred and forty- 
nine examinations found twenty-seven cases where entire recovery 
had taken place, also ten cases where a partial cure had been effected, 
part of the ulcers having healed, and a part being evidently in pro- 
cess of healing: the great Laennac, in far more extensive investiga- 
tions, found about the same proportion of cases in which these scars 
existed. These investigations were made many years ago, and since 
then the number of similar cases which have been recorded in Europe 
and in our own country, is swelled to thousands. Indeed, very few 
medical students graduate in Xew York or Philadelphia, where the 
facilities for dissection are abundant, who do not have numerous op- 
portunities of witnessing these post mortem proofs of the curability 
of Phthisic. 

But I can present other evidences of the curability of Con- 
sumption which I am sure would be convincing to any one who 
would examine them. 

For nearly twenty years I have kept printed and written records 
of the cases I have treated, each occupying from one to five large 
pages. The entire list comprises many thousand cases, recorded in 
some thirty-five bound volumes. An accurate account is given of the 
condition of each patient's lungs, when first examined, together with 
the treatment pursued, and its results. A few of these cases are cited 
in the appendix to these . essays, scores could be added did space 
permit. I wish, however, to repeat here, that although there is irre- 
fragable proof that thousands have recovered from advanced consump- 
tion, still they are few compared with the tens of thousands who have 
died with this disease, and therefore there is but slight encourage- 
ment for those who neglect treatment during its primary stage, when 
it is always curable. 



16 

Treatment of Consumption; 

How then can a cure be effected ? I reply, not by any single rem- 
edy, however valuable, nor by inhalations, nor by medicines alone, 
however numerous, or howsoever administered, nor by Electricity* 
nor any treatment based upon a single remedy or idea. Indeed, the 
fatality of Consumption is largely due to the common mistake of 
adopting treatment limited to medicines, and often to a single drug. 
Cod Liver Oil, Preparations of Iron, Whiskey, Iodine, the Hypo- 
phosphite Salts, and a great number of other drugs have professional 
sanction, and are in turn made the sole basis of treatment. In addi- 
tion to these are innumerable Lung Balsams, Pulmonic Syrups and 
Lung Cures offered as unfailing remedies. Again many consump- 
tives are advised to abandon all else, and resort to travel, which is of 
itself insufficient. Others are cheated of their possibility of recovery 
by the false, but plausible idea that consumption can be cured by 
medicated Inhalations. In order then to cure Consumption it is 
necessary to employ 

A System of Treatment 

which shall render the entire mode of life remedial, and at the same 
time combine for each case according to its needs, strengthening and 
cleansing medicines, anodyne, pectoral and healing Inhalations, with 
Friction, Bathing and specialized breathing exercises to increase the 
breathing capacity, and general exercises used in a thoroughly Sys- 
tematic and .Remedial manner. Treatment of this kind can be adapted 
to the most debilitated cases, and at once begins to cleanse the blood, 
which is the seat of the disease, and increase the strength, allay the 
cough, and other annoying symptoms. 

To adjust such treatment to the varying necessities of each case in 
a successful, manner, requires more special experience than falls to 
the lot of the general practitioner. 



It 
HEART DISEASES. 

The Heart is the only vital organ directly connected with the 
Lungs. It contains four chambers communicating with each other, 
and with the large blood vessels by means of valves. Two of these 
chambers, or one-half of the Heart, is engaged in sending blood to 
the Lungs, and receiving it back from them. 

The blood sent to the Lungs is that which has been used, and is 
brought to the Heart from all parts of the body through the veins. 
It is dark in color, and impure with waste matter, in this condition 
it is sent from the Heart through the Pulmonary Artery to the Lungs r 
where it is exposed to the action of the air, and at the same time much 
of its effete matter is exhaled away in the vapor of the breath. It is 
thus changed to a bright red color, and returns to the Heart through 
pulmonary veins, and is thence distributed to all parts of the body, 
renewing the substance and life of the constantly wearing out tissues. 
The blood is forced forward in its course, by the pumping action of 
the Heart. 

Notwithstanding its complicated structure and functions, the Heart 
in health acts with great regularity, its pulsations being felt in the 
smallest arteries, But the Heart is possessed of acute sensibility, 
and when not at all diseased itself, it may be greatly disordered in 
its action by the presence of disease in other organs. Thus Dyspep- 
sia, Diseases of the Liver, Female Complaints, and other ailments, 
give rise to distressing palpitations, intermitting pulsations, and even 
severe pain in and about the Heart without any alterations of its 
structure. Such disturbances are termed 

Functional Diseases of the Heart. 

The palpitations, flutterings, tremblings, the smothering sensations, 
the feelings of weight or pressure, and other sufferings which charac- 
terize functional disorders of the Heart are often more distressing, 
than the symptoms of its more dangerous organic affections, but they 
are always curable by removal of their causes. 

Organic Heart Diseases. 

There are three classes : those of the Pericardium, or membranous 
sack which encloses the Heart ; secondly, those of the walls or body of 
the Heart ; and thirdly, those of its valves and lining membrane. 
The limits of this circular permit only the briefest description of 
them. 



18 

Pericarditis is an inflammation of the Heart-case — it is caused by 
Rheumatism, Colds, etc., — it is at first an acute disease, painful and 
very dangerous, but is not necessarily incurable. When it passes 
into the Chronic form, there is sometimes an effusion of fluid in the 
Heart-case which distends it to several times its natural size, and the 
Heart itself is left suspended in a sack of water. This result is called 
Dropsy of the Heart. In other cases Pericarditis results in an adhe- 
sion of the Heart-case to the surface of the Heart, embarrassing its 
action, and causing great distress. The walls or body of the Heart 
are subject to several forms of disease. Sometimes they become 
thickened, and the Heart is thereby increased in size and weight — 
this is termed Hypertrophy, which means overgrowth, or enlarge- 
ment of the Heart. Again, the walls of the Heart become debilitated 
and yield to the strain of propelling the blood, and become too thin 
and distended ; in this condition the Heart is increased in size, but 
not in weight, this affection is called Dilatation of the Heart. It is a 
most distressing and dangerous disease, rendering the Heart liable 
to rupture or bursting. There are several other diseases of the walls 
of the Heart, which need not be described here. 

Diseases of the valves of the Heart are of frequent occurrence, and 
always place the life of the patient in jeopardy. In a majority of in- 
stances they result from badly treated inflammatory Rheumatism, but 
may arise from other bad states of the blood. In these diseases one 
or more of the valves become thickened or fringed with bead-like 
tumours, which prevent their complete closure— and the current of 
blood regurgitates in passing from one cavity to another, causing 
-sounds like the purring of a cat or blowing of a bellows. 

Valvular diseases always imperil life. 

The Symptoms of Heart Diseases 

Yary according to the nature of the disease existing, but a classi- 
fication of them will not be expected here. In general they comprise 
pains about the heart and left side, generally sharp and transient, 
but frequent — headaches, dilatation of the pupil of the left eye, giving 
it a staring or enlarged appearance, coldness of tips of nose and ears, 
and convulsive action of the Heart, with feelings of pressure and con- 
striction, inability to lie on left side, distressing shortness of breath, 
•dry, wheezing cough, dizziness, momentary blindness, beating or 
humming sound in the ears, an apprehensive state of the mind, an 
indefinable dread, or sense of danger, which oppresses the patient, 
whether he be couscious of having Heart disease or not. In the more 
serious cases general dropsy usually occurs. 



10 

Curability of Heart Disease. 

Organic affections of the Heart are usually deemed incurable, and 
little effort is made to treat them. Bat I can truthfully assert that 
they are often completely curable, and when not so, they may be so 
alleviated as to cease to be dangerous, or a source of much discom- 
fort. Again, in many cases Functional disorder of the Heart is 
mistaken for organic disease, and abandoned as hopeless, while by 
appropriate treatment it is entirely curable. 



DYSPEPSIA and its COMPLICATIONS. 

Xo Chronic Diseases are so certainly, completely and permanently 
curable as those of the stomach and its accessory organs, and yet 
none are so prevalent, and none so frequently baffle the skill of the 
general practitioner. 

Probably twenty per cent, of the entire adult population suffer 
more or less from disorders ot these blood-forming organs. 

The failure of physicians in general practice to relieve these, is 
owing, chiefly, to two errors in their mode of treatment. In the first 
place it is not comprehensive — they attribute the sufferings of the 
disorder of a single organ, when in fact the whole digestive group is 
affected. With many practitioners the study of a single organ be- 
comes a hobby, and they can see in a dyspeptic, only a disordered 
stomach, or a bad liver, or inactive bowels, and treatment is based 
upon the narrow theory they chance to form. 

In the second place, they depend too much on medicines and thus 
fail to remove the causes of the disease. 

Dyspepsia is a disorder affectiag all the blood-forming organs, in- 
cluding the Stomach, Bowels, Liver, Spleen Pancreas, Kidneys and 
Lungs, and any treatment is defective which does not take cogni- 
zance of an entire group. It is true, however, in most cases, that one 
or two organs are moie affected than the rest, and hence there is a 
partial propriety in describing one case as " Liver Complaint, " 
another as " Stomach trouble, " etc., but the treatment in order to be 
successful mast include the whole.; 



20 

The Causes of Dyspepsia 

Are almost invariably found in the habits and mode of life. One 
of the most common is the truly American habit of eating too 
hastily — swallowing the food without chewing it, and hence without 
its being mixed with the saliva. Xot being properly prepared for the 
stomach, it remains there much longer than it should ; and often the 
solid ana tough morsels are not digested at all, but pass through a 
spontaneous decomposition promoted by the warmth and moisture of 
the stomach, and gases and acids are formed, causing great distress ; 
and the undissolved lumps are finally expelled by vomiting, or else 
pass through the bowels and cause diarrhoea. 

Another habit usually accompanying the above, and aggravating 
its effects, is that of taking too much drink, and especially hot drink 
at meals — the fluids thus taken dilute the digestive juices, and render 
digestion difficult and tardy. Eating at bedtime, and too frequently, 
are common causes of indigestion. The stomach needs rest after its 
fatiguing labors, and fully six hours should intervene between 
meals. Sedentary habits, or in other words, lack of exercise, is 
also a fruitful cause of indigestion. Clergymen, lawyers, teachers, 
merchants, clerks, seamstresses, factory operatives, and all whose 
occupations are inactive, suffer from this cause, and when dyspepsia 
thus arises, it is more liable to result in Consumption than in 
the case of persons who have considerable exercise. Limited space 
compels me to name other causes of dyspepsia more briefly. The use 
of tobacco, strong coffee, and alcoholic drinks also deranges the di- 
gestive functions. They are also disordered by bad diet, excessive 
use of pork, green vegetables, pickles, preserves, pastry warm bread, 
and biscuit, highly seasoned food, as sausages and mince pies. 
Among other causes, may be named, excessive study, or extreme 
bodily fatigue, prolonged watching, debilitating losses, and habitual 
use of cathartics. These causes I have named as being most avoid- 
able. 



The Curative Treatment of Dyspepsia is that which 1 
makes the Mode of Life Remedial. 

This involves a careful and minute inquiry into the condition, cir- 
cumstances and habits of each patient, and a rigid criticism and prun- 
ning of all that is promoting the disease. It is not sufficient to give 
general rules for the guidance of invalids — to say, "eat what agrees 
with you," take exercise,'' etc., but each case must be studied on it& 



21 

own merits, and its faults corrected, and its wants provided for, and 
specialized instructions given concerning the quantity and quality of 
food and drink — the times and manner of taking them--concerning 
exercise, bathing, occupation, sleep, ventilation, clothing, etc., etc. 

In order to effect a cure, however, it is not enough merely to cor- 
rect the mode of life. The disease may arise from these causes, and 
yet become so established as to remain after their removal, in the 
form of a chronic inflammation, or a debility too extreme to permit 
the system to react without the assistance of medical and hydropathic 
remedies. 

But the whole treatment whether B/vgienic, Hydropathic or medi- 
cinal must be adapted to the requirements of each case. There is no 
cure-ail or panacea for any disease, nor is there any routine of regi- 
menal treatment which will suit all cases. 

But by appropriate treatment Dyspeptic ailments can be speedily 
relieved, and completely cured within three to twelve months, 
according to the duration of the case and constitution of the patient. 
To describe fuljy how a dyspeptic feels and suffers, would comprise 
a chapter of horrors altogether exceeding the limits of this 
article. 

The following epitome of Dyspeptic Symptoms includes many 
which are common to all cases without describing any case in full : 
The mind is depressed and gloomy, there is often a taciturn disposi- 
tion, an unwillingness to speak, or be spoken to, amounting at times 
to extreme irritability and moroseness ot temper, loss of memory, 
languor, listlessness, indisposition to exertion — "feeling tired out 
without doing anything to tire me" — drowsiness during the day, and 
wakefulness and restlessness at night, with bad dreams, etc. 

Of pains arising from Dyspeptic disorders, are dull heavy head- 
aches, sick headaches, violent nervous headaches, dull pain about the 
right shoulder and breast, aching in left breast and shoulder, stitches 
and shooting pains about the heart, pain in stomach after eating, 
soreness in stomach, backache, heavy aching in lower limbs, dimness 
of sight, dizziness and various confused feelings in the head. 

The Stomach Symptoms also include burning, waterbrash, acidity, 
belching, fullness or feeling of weight, nausea, vomiting, spitting up 
food, uneasiness and distress after eating, etc. The tongue is coated 
and there is a bitter taste in the mouth in the morning. The bowels 
are generally costive, but may be loose or regular. The urine varies 
in color or quantity, but is generally scanty and dark in color, and 
deposits much sediment. The feet and hands are cold, with alterna- 
tion of burning. The complexion is dull, sallow, bilious. The gen- 
eral aspect careworn and melancholy. 



9 



Dyspeptic disorders give rise to a number of other ailments, vary- 
ing according to the hereditary tendencies of the patient. Among 
the more frequent of these are diseases of the Throat and Lungs, 
Skin Diseases, Female Complaints, Piles and Heart Disease. When 
such complications exist, it is futile to try to cure the more serious 
disease, without removing the entire condition from which it has 
arisen, and mere local treatment like the application of caustics in 
the throat and for female diseases, and the use of inhalations in Lung 
disease, is worse than useless. 

The foregoing remarks refer to those cases in which the ailments 
consist mainly of debility, and defective action of the digestive or- 
gans, attended by a low grade of chronic inflammation or "inward 
fever'' which pervades the entire abdominal region. This class com- 
prises a large majority of all who suffer from disease of the alimen- 
tary organs. But there remain to be described the organic affections 
of the same region, of which but brief mention can here be made. 

The Stomach is subject to inflammation (Gastritis) attended with 
pain after eating, soreness, burning, etc. In some cases the mucous 
membrane secretes a large amount of thick, glairy mucous, when the 
disease is called Gastric Catarrh. 

Ulceration of the stomach occurs in long standing cases of Dyspep- 
sia, and is especially liable to appear in persons past the age of forty- 
five. 

It is a dangerous disease yet very curable, as are Gastritis and 
Gastric Catarrh. The stomach may also be the seat of Cancer, and 
other affections which do not come within the scope of this pamphlet. 

The Liver is also subject to a number of organic diseases, some of 
which are curable, others incurable. Among the latter is the "Hob- 
nail disease,'' caused by habitual use of stimulating drinks. The use 
of Mercury whether in the form of Calomel or Blue Pill, renders the 
Liver weak and inactive, and if long continued, causes it to oecome 
seriously diseased. 

Chronic Diarrhoea is a disease of the small bowel, and when 
caused by Scrofula, it is termed Consumption of the Bowels, and is 
a most dangerous malady, and seldom curable. Other forms of this 
disease are quite curable, even when of long standing. 

Chronic Dysentery is a disease of the large bowel, in which there 
are discharges of mucus and bloody matter, with otherwise healthy 
evacuations, and pains and soreness in left side of abdomen. It is 
usually curable, but requires protracted treatment, and much restric- 
tion of diet. Catarrh op the Rectum or lower bowel, and ulceration 
of the same, are of comparatively rare occurrence and are quite- 
curable. Costiveness, though not an organic disease, seems to re- 



23 

quire special mention. In ninety-nine of every hundred cases, it 
consists of a debility of the larger bowel with slight inflammation of 
its lining membrane. This form of the trouble is always entirely 
curable, without the aid of cathartics. Indeed the use of cathartics 
or physic increases the difficulty itstead of removing it. In a few 
cases, costiveness is owing to a paralytic state of the bowel. In other 
cases it is caused by obstruction from Piles, falling of womb, etc. In 
these cases it is usually curable. 

Piles or Hemorrhoids are curable in most cases by medicinal and 
regimenal treatment. I have witnessed the recovery of bad cases of 
many years standing without recourse to surgery., In some cases 
however, recovery is prevented because the habits and mode of life 
which have produced the disease, cannot be corrected or changed. 

Among the more common causes are Costiveness, Heart Disease, 
sedentary occupations, use of tobacco, coffee, and strong tea, excessive 
lifting, etc. 



URINARY COMPLAINTS 

comprise, first, diseases of the Kidneys whereby the character and 
quantity of the urine is affected, and secondly, diseases of the 
Bladder and Urethra in which the passage of urine is rendered 
difficult, too frequent or otherwise distressing. The Kidneys act as 
filters, and separate from the blood certain salts which must be dis- 
solved in order to be washed out of the body. These salts are a 
portion of the waste material constantly forming in the body by the 
death and decay of its tissues. 

The fact was long ago established by Physiologists, that the body 
is constantly undergoing decay and renewal. The cells and atoms of 
the various tissues and organs are incessantly dying and beiug remov- 
ed and their places are at once filled by new material. Formerly it was 
estimated that the entire body was thus destroyed and renewed once 
in seven years ; but it is now known that in good health this occurs 
about three times in one year. This wonderful change is effected by 
means of the circulation of the blood. The food or nutriment taken 
is formed into arterial or nourishing blood, by means of the digestive 
organs and lungs. This blood is thrown by the heart to every por- 
tion of the body, and supplies the material for renewing the worn 



24 

out tissues. The waste matter is received into the veins, and is 
thrown out of the body through the lungs, skin, bowels, and kidneys. 
Some of it conies away in the form of vapor in the breath and pers- 
piration; some is deposited in the bowels, and passes away in a com- 
paratively solid form ; and the remainder, consisting of salts of uric 
acid, is dissolved and washed away in the urine. These urinary 
salts, if retained in the system, are highly poisonous, and when the 
kidneys remain inactive for a considerable time serious disease will 
result. But, in addition to their own work, the kidneys often assume 
in part the functions of other organs. Thus when the liver is inac- 
tive bile is found in the urine, and when the lungs are congested or 
partly closed by hepatization, some of the matter which should be 
thrown off in the breath, is passed off in the urine; in a like man- 
ner disease of the brain, and of other organs and tissues, changes the 
character of the urine. But it is not true as claimed by advertising 
Uroscopists, that examination of the urine will reveal the presence 
and character of any disease, and indicate the treatment needed. I 
have for years made a chemical analysis of the urine in cases requiring 
it, but it is unnecessary and useless in most cases of lung disease, and 
in a majority of dyspeptic cases. Diabetes is a disease of the liver, 
stomach, and kidneys, (and probably of the spleen and pancreas also,) 
in which the quantity of urine is enormously increased, and it con- 
tains more or less sugar. It is a most serious disease, and seldom 
cured if not treated in its early stage. 

Diuresis is an affection of the kidneys, in which the urine is also 
greatly increased in quantity, but contains no sugar. This disease 
is far more curable and less dangerous than Diabetes. The average 
amount of urine, in health, is one pint per diem of twenty-four hours 
for each fifty-six lbs. of a persons weight. 

When this average is exceeded, a careful analysis of the urine 
should be made as early as possible, for if caused by Diabetes, it is 
of vital importance that proper treatment should at once be adopted. 
There are several other organic diseases of the kidneys, which need 
not be described here, as they do not fall within my specialty. 

CATARRH OF THE BLADDER 

and Urethra is an affection of comparatively infrequent occurrence. 
Its principal symptoms is the presence of mucus or "phlegm " in the 
urine which renders the passage difficult and tardy. 

It occurs chiefly in persons past the age of forty-five, and when of 
long standing is liable to bring on paralysis of the lower limbs. In 
1863 I was consulted by a lady seventy-four years of age, who had 



25 

suffered from this disease for several years. About a gill of heavy, 
yellow matter was passed with her urine daily. Her lower limbs 
were partially paralyzed, and she could not stand erect, but was able 
to get along slowly by aid of two short canes, about eighteen inches 
long, so that she appeared almost as if creeping, After some two 
months treatment the mucus had disappeared from her urine, and I 
had the satisfaction of seeing her walk briskly into my office with the 
aid of a single ordinary cane. She could stand nearly upright, could 
sit down, kneel, and rise without difficulty, which had not been the 
case for months before coming to me. 

The Urethra or neck of the bladder, as well as the bladder itself, 
is subject to chronic inflammation, and thickening with great irrita- 
bility, and the consequence is a most distressing frequency in urinat- 
ing with severe pain and straining. In some cases it amounts to 
what is termed Strangury, in which with an almost constant incli- 
nation to urinate only a few drops can be voided at a time. This 
disease is most frequently complicated with female complaints, but is 
sometimes induced by injudicious use of fly blisters. It is variously 
named Dysuria, Irritable Bladder, etc. In many cases it is promptly 
curable, but some times is so complicated with other obstinate ail- 
ments, that recovery is slow. 

Enuresis, or "wetting the bed'' by children during sleep is a most 
annoying trouble, but happily is in most cases speedily curable. I 
have successfully treated cases where this ailment had continued from 
infancy to the age of eighteen. 

Treatment of Urinary Diseases 

Must be largely Hygienic, in order to be successful. The pretense of 
Uroscopists that by analysis of the urine, they can determine what is 
wanting in the blood, and supply it in the form of a specific drug, is 
fallacious, and such treatment can only end in disappointment. The 
principles of correct treatment of these disorders have been explained 
already in the article on Dyspepsia, and its Complications. 



2G 

FEMALE COMPLAINTS. 

Language would fail me, if my space permitted, were I to attempt 
a description of the miseries involved in the above named ailments. 
Consumption is comparatively a merciful disease, for it is attended 
with little suffering, and terminates fatally, and often speedily, but 
female complaints may render life almost unendurably wretched, and 
yet not destroy it. 

They vary in kind and severity, from a slight "weakness" or irreg- 
ularity, to severe and constant inflammations and displacements 
which burden every fibre of the body with pain, and fill the mind 
with gloom and melancholy amounting sometimes to insanity. 

Probably more than four-fifths of American women, suffer from 
some of these disorders, and yet there are none more preventible and 
few more curable. Like most chronic diseases this class also springs 
from errors in the mode of life. 

One of the principle causes is lack of exercise, and especially of 
outdoor activity. There is no greater preservative of female health 
and beauty, than an abundance of exercise in the open air, and par- 
ticularly that of walking. But unfortunately this fact is ignored to 
such an extent that it is difficult to find an American woman who can 
walk more than a mile or two without excessive fatigue. If the ben- 
efit of walking were duly known and appreciated the ability to walk 
five or six miles with ease would be cultivated and deemed a more 
desirable accomplishment than excellence in music. Errors in dress 
are also fruitful of much derangement of female health. 

By tight lacing the Stomach, Heart and Liver are pressed upward, 
and the bowels and kidneys forced downward, crowding the womb out 
of place, and this effect is aggravated by the weight of skirts worn 
without suspenders. From these causes result the "sinking all gone 
feeling'' at pit of stomach, and "dragging down" sensation so often 
complained of, and much of the pain in the back. 

The use of thin, tight shoes, with high heels is also responsible for 
a great deal of female suffering. It induces coldness of the feet and 
lower limbs, and the deficiency of blood here is balanced by over- 
pressure or congestion in the veins of the womb and its appendages. 

The use of coffee, strong tea, rich and indigestible food, renders the 
nervous system irritable and intensifies the suffering arising from the 
above causes. 

In young women the result is irregularity of the menses, Leucor- 
rhoea, Dysmenorrhea or monthly pain which is sometimes of a most 
excruciating character, with weakness and pain in the back, headaches, 
paleness and sallowness of the skin. In some cases the menses are 



27 

delayed and scanty, while in others they are too frequent and pro- 
fuse. 

In married women the above causes result in barrenness, in prolap- 
sus or displacement of the womb, or in miscarriage with inflammation 
and ulceration, enlargement and other troubles too numerous to 
mention. 

In this class of cases the mania for local treatment by means of cau- 
stics, is productive of quite as much injury as it is in Throat diseases. 
With many practitioners burning the neck of the womb with nitrate 
of silver, is about the sole treatment for ulceration and enlargement, 
and I can most truthfully assert that it is not only unnecessary, but 
is positively hurtful, in ninety-nine cases out of a hundred. In many 
cases it affords temporary relief, but the disorder soon recurs, or else 
the morbid action is driven in upon the body of the womb, or the 
ovaries, and becomes a more dangerous disease than before. 

In multitudes of cases, however, it returns in a short time to its 
original location, when the cauterizing process is repeated- I have 
been consulted by ladies who, during a period of eight or ten years, 
have passed through this operation hundreds of times, the complaint 
constantly recurring within a few days after the application of the 
caustic, and have had the gratification of seeing such cases recover, 
under proper treatment, without even being subjected to an examina- 
tion. The cases in which cauterizing has brought on disease of the 
ovaries, etc., are more serious and more difficult, but still are gener- 
ally quite curable, by persevering use of Hygienic and Hydropathic 
treatment, aided by proper specific remedies. 

The Treatment of Female Complaints 

Can only be outlined in the limits of a pamphlet like this. 

In no class of maladies is it so essential to scan closely the mode 
of life and habits of the patient, in order to point out the causes of 
the disease. 

In each case the existing causes must be ascertained and abated, 
and having done this we come to the consideration of the remedies 
to be used. These comprise, first, Specialized exercises which 
will tend to tone up and strengthen the muscles and ligaments, which 
have lost their vigor, and send them a better supply of blood, and 
regulate its circulation. 

Secondly. — Various Hydropathic measures, including hipbaths, 
sponge baths, douche baths, compresses, packs, etc, etc., are pre- 
scribed in each case according to its requirements. 



.28 

Thirdly. — The use of Medicines, local and internal, is necessary 
in all cases. By proper local remedies, the relaxed tissues can be 
toned and stimulated to healthy action, and the morbid secretions 
and discharges gradually diminished till they wholly cease. Ulcer- 
ations, Engorgements, SwelliDgs, etc., can also be gradually reduced 
till removed. This curative work is seconded by giving internally 
certain medicines which exert a special influence on the nerves and 
bloodvessels of the womb and its appendages. These remedies must 
foe selected with reference to their particular relation to each case, 
when this is done, the beneficial result is often little short of mar. 
vellous. 

Fourthly. — In some cases of displacement, etc., certain Mechan- 
ical Supports are of great value for a short time, but they can 
usually be dispensed with after a few weeks' use. I have given 
much attention to this point, and am convinced that these appliances 
though necessary and extremely valuable in occasional cases, yet 
-should be avoided when practicable. 



SCROFULA. 



The peculiar impurity of the blood which is called Consumption 
when it forms tubercles in the Lungs or elsewhere, is termed Scrofula, 
when it affects the bones, joints and lymphatic glands, and other tis- 
sues and organs. It rarely, if ever affects the external skin, though 
several varieties of tetter are incorrectly called Scrofula. When it 
attacks the glands of the neck, armpits, etc., they become much en- 
larged and painful, and are filled with matter resembling tubercle 
which slowly softens, and is discharged. But this discharge does not 
free the blood of the elements of the disease, and unless proper treat- 
ment is adopted, it continues to be developed, and finally ends in 
rapid Consumption. The ordinary practice of applying Iodine to the 
-swollen glands is exceedingly unsafe, and often results in driving the 
disease at once to the Lungs. 

But Scrofula yields readily to proper treatment if adopted early, 
and often after the patient has been greatly reduced by it, I. have 
^witnessed the complete recovery of cases of many years standing, in 
which there was extensive destruction of bone and softer tissues. 



29 



CHRONIC SKIN DISEASES 



Of every kind are more or less dependent on a vitiated state of the 
blood, and require constitutional, as well as local treatment. 

But any local remedy which causes a scaly or eruptive disease to 
disappear suddenly is highly dangerous. Such treatment, however, 
is unfortunately common, and many a case of Consumption, Bron- 
chitis, or other serious disease can be traced to the use of some min- 
eral ointment or lotion for a skin disease. 

By rational treatment both local and general, every form of cuta- 
neous disease may be radically and permanently cured.. 



30 



jjefer^ni^i and ^stimomaR 



<«>»> 



To the invalid seeking medical advice, the question, whether a 
physician is reliable and trustworthy, is scarcely second to that con- 
cerning his professional skill. This is especially true in regard to 
those who solicit patronage by advertising. 

I, therefore, deem it a duty to present the following letters and 
notices of a personal character. 



From the People's Monthly. 

CONCERNING DE, SYKES, 

Whose card appears in another col- 
umn, the Hon. George H. Thurston, 
President of the Pittsburgh Board 
of Trade, remarks as follows, in the 
Quarterly Trade Circular : 

A departure is made from the 
custom of this publication to call 
attention of our readers to the spe- 
cial advertisement of Dr. J. W. 
Sykes. Although devoting his time 
and skill to an especial group of 
diseases. Dr. Sykes is not one of a 
class known as itinerant physicians, 
but has, for many years, been a per- 
manent resident * in Pittsburgh. 
Personally known to the editor of 
the Circular for a number of years 
as a man of integrity; conscientious 
in the following of his profession, 
the habit of this paper has been 
waived to ask the attention of indi- 
viduals to the testimonials to Dr. 
Sykes' skill, and to say that he 
would not knowingly publish any- 
thing but facts. 



From the Beligious Telescope. 
We wish to invite special atten- 
tion to the advertisement of Dr. J. 
W. Sykes, of Pittsburgh, Penn., 
printed on the seventh page of this 
issue of our paper. Dr. S. is highly 
spoken of as a practitioner in the 



special diseases to which he devotes 
his attention and skill. Among 
others received by us, we take pleas- 
ure in transferring to our columns 
the following testimonials from the 
editors of the Pittsburgh Christian 
Advocate and United Presbyterian: 

Pittsburgh, May 16, 1867. 
Publisher Beligious Telescope : 

Dear Brothers : I take pleas- 
ure in stating for your information 
that Dr. J. W. Sykes. of this city, 
is a reliable and skillful medical 
practitioner, and justly distinguish- 
ed in his specialty— the treatment 
of the lungs. He will not dishonor 
any words of commendation you 
may make in his interest in the 
Beligious Telescope. 

Respectfully 

s. H . Xesbit, 
Editor Pittsburgh Christian Advo- 
cate. 



Office of the United Presbyterian, ) 
Xo. 74 Third Street, > 
Pittsburgh, May 20th, 1867. ) 
.Editors Beligious Telescope — Sirs : 

Dr. J. W. Sykes having applied 
to us for a letter of recommenda- 
tion, we take pleasure in stating 
that he has the reputation here of 
being at the head of the medical 



31 



school in the treatment of the lungs 

and oilier kindred diseases. And 
further, we are gratified at being- 
able to say that he is a Christian 
gentlemen, and in every way 
worthy of any commendation that 
you may give him in your influen- 
tial and widely-circulated paper. 
With much respect we are 
Your obedient servants, 

D. K. Keee & Co.. 
Editors and Proprietors United 
Presbyterian. 



From the Pittsburgh Advance. 
Attention is called to the adver- 
tisement of Dr. J. W. Sykes, which 
will be found in another part of our 
paper. Dr. Sykes has been long and 
favorably known in this city, both 
as a man and an able physician. In 
treating the diseases which he has 
made a specialty, and to the study 
of which he has devoted his life, he 
has been eminently successful — 
more so, perhaps, than any other 
physician in the two cities. We 
happen to be personally acquainted 
with some of the persons whose 
certificates appear in his advertise- 
ment, and know them to be men of 
truth and honor, who would scorn 
to lend their names and influence 
to practice an imposition on the 
community. Eead these testi- 
monials. Those who are afflicted 
with any of the diseases which Dr. 
Sykes professes to cure, may con- 
sult him in confident hope of relief. 



From the Methodist Recorder. 
GRATUITOUS ADVERTIS- 
ING. 
Below we append an extract from 
a letter written several years ago to 



the Pittsburgh Christian Advocate 
and published in that paper as a 
regular communication, without 
charge and without solicitation on 
the part of Dr. Sykes. It is evident 
that a man must conduct his busi- 
ness with rare fidelity and success 
when others are thus constrained 
to advertise it for him. 

The writer of the letter, Rev. 
Wesley Smith, is well known 
throughout the Parkersburg (W. 
Ya.) and Pittsburgh M. E. Confer- 
ences as an author of several popu- 
lar works, and an effective and elo- 
quent preacher : 

"Mr. Editor : Permit me to 
call the attention of your readers to 
Dr. Sykes'' card in the Advocate. I 
ask this because I receive numerous 
letters asking my opinion in regard 
to Dr. Sykes system of treatment in 
affections of the throat and lungs. 
I could give a number of cases of 
consumptives considered almost 
hopeless, who were recovered by 
his treatment, and who now enjoy 
good health , I have the fullest con- 
fidence in his mode of treating con- 
sumption. He is equally successful 
in the treatment of nasal catarrh, 
tetter, and, in a word, most if not 
all chronic diseases. Under God, I 
owe my life to Dr. Sykes. To those 
who are not personally acquainted 
with Dr. Sykes permit me to say 
that should they have occasion to 
consult him, they will rind him a 
most gentlemanly, kind-hearted 
man, and they may place the utmost 
confidence in his integrity and up- 
rightness. The press could not do 
a "greater favor to those afflicted 
with that terrible disease, consump- 
tion, and other chronic complaints, 
than to copy this communication. 
Wesley Smith. 



I take pleasure in referring to the following gentlemen, who have 
had knowledge of myself and of my mode of treatment : 

Rev. M. L. Anderson. Rosendale, i Rev. Jacob Bird, Mason City, W. 

Mo. Ya. 

Rev. John Afford, New Castle, Pa. i Rev. Geo. H. Brown, Cochran- 
Rev. T. B. Anderson, N. Bedford. ton, Pa. 

Pa. Rev. R. M. Brown, Rouseville, Pa. 



Rev. H. Appleton. Pleasant Unity. 

Pa. 
Rev. Joseph Barkley, Sedalia, Mo. 



Rev. L. N. Baird.D. D. Allegheny. 

Pa. 
Rev. A. Baker, Hanoverton, O. 



32 



Rev. E. Birkett, Mount Union, O. 
Kev. W. J. Bollman, Congruity, 

Pa. 
Rev. J. R. Brittan, Greenville, Pa, 
Rev. E. "B. Blundon, Burning 

Springs, West Virginia. 
Rev. E. B. Cummings, Clinton, 

Wis. 
Rev. G. W. Cranage, Pittsburgh, 

Pa. 
Rev. D. B. D. Coleman, Blairsville, 

Pa 
Rev. W. A. Cardwell, Richland, 

Kan's. 
Rev. J. P. Campbell, Cambridge, 

Ohio. 
Rev. Samuel Cover, ]S T ew Geneva, 

Pa. 
Rev. Luther Dodd, Toledo, Iowa. 
Rev. W. F. Ewing, Allegheny, Pa. 
Rev. Samuel Pulton, Philadelphia, 

Pa. 
Rev. E. S. Gillett, Youngstown, O. 
Rev. J. D. Gans, Easton, W. Va. 
Rev. T. M. Hartley, Ellenboro, W. 

Ya. 
Rev. S. M. Hickman, Monongahela 

City, Pa. 
Rev. J. S. Hawk, Wilkins, Pa. 
Rev. J. H. Hall, DeRuyter, X. Y. 
Rev. S. M. Hitchens, Moundsville, 

W. Virginia. 
Rev. G. M. Hair, McKeesport, Pa. 
Rev. W. H. Haney, Cedarville, O. 
Rev. D. R. Imbrie, Ottawa, Kansas. 
Rev. J. M. Jones, Cowansville, Pa. 
Rev. W. R. Hutchinson, Glade 

Mills, Penn'a. 
Rev. W. E. Hunt, Coshocton, O. 
Rev. John Kidney, Graysville, O. 
Rev. X. R. Kirkpatrick, Bloorning- 

ton, Illinois. 
Rev. Wm. McKain, State Lick, Pa. 
Rev. S. Y. Kennedy, New Lisbon, 

Ohio. 
Rev. J. M. Kelly, Cross Cut, Pa. 
Rev. Joseph King, Allegheny, Pa. 
Rev. A. B. Leonard, Pittsburgh, 

Pa. 
Rev. Wm. Lorimer, Morning Sun, 

Iowa. 
Rev. W. P. Moore, Allegheny, Pa. 
Rev. W. M. Mullenix, Morgantown 

W. Ya. 
Rev. E. L. McElree, Freeport, Pa. 
Rev. J. W. Miles, Meadville, Pa, 
Rev. H. C. McBride, Connellsville, 

Penn'a. 
Rev. G. W. Methony, Jollytown, 

Penn'a. 
Rev. P. MaGowan, Beaver Falls, 

Penn'a. 



Rev. J. D. Moorhead, new Texas, 
Penn'a. 

Rev. S. H. Nesbit, D. D., Pitts- 
burgh, Pa. 

Rev. John Newell, D. D., Wilkins- 
burg, Pa. 

Rev. Geo. Orbin, Leechburg, Pa. 

Rev. I. C. Pershing, D. I). Pitts- 
burgh Pa. 

Rev. I. A. Pearce, New Philadel- 
phia, Ohio. 

Rev. J. S. Patterson, Fairmount, 
W. Virginia. 

Rev. Louis Payne, Lincolnville. 
Ohio. 

Rev. David Paul, D. D., Xew Con- 
cord, Ohio. 

Rev. G. M. Potter, Sharpsburgh 
Pa. 

Rev. S. A. Potter, Darlington, Pa. 

Rev. A. A. Reger, Parkersburg, W. 
Virginia. 

Rev. W, X. Reno, Dunkirk, Xew 
York. 

Rev. B. F. Rogers, Xew Martins- 
ville, W. V. 

Rev. W. M. Rider, Weston, W. 
Virginia. 

Rev. E. D. Richardson, Shedd's 
Corners, Xew York. 

Rev. Thomas Sproull, D. D., Alle- 
gheny, Pa. 

Rev. J. S. Speer, Buena Vista, 
Pa. 

Rev. Wesley Smith, Wilkin- 
Penn'a. 

Rev J. T. Shaw, Chicago, 111. 

Rev. J. M. Smith, Perry sville, Fa. 

Rev. J. A. E. Simpson, Meek 
town, Ohio. 

Rev. E. K. Squier, D. D., Pitts- 
burgh, Pa. 

Rev. W. D. Stevens, Coppersdale, 
Penn'a. 

Rev. E. B. Snyder, Allegheny, 
Pa 

Rev. B*. S. Sloan, Penn Run, Pa. 

Rev. J. E. Starkey, Winchester, O. 

Rev. J. H. Shields,' Crestline. Ohio. 

Rev. H. J. Smith, Brownsville, Pa. 

Rev. W. Townsend, Beattv. Pa. 

Rev. S. M. Taggart, East Pales:::: e 
Ohio. 

Rev. S. H. Thompson, Canandaigue 
Xew York. 

Rev. A. W. Taylor, Ripley, Xew 
York. 

Rev. J. W. Witherspoon, Alleghe- 
ny , Penn'a. 

Rev. W. S.lWood, Duncan. Pa. 

Rev. W. G. Waddell, Xew Athens. 
Ohio. 



33 



Rev. W. B. Watkins,D. D., Pitts- 
burgh, Pa. 
Rev, D. Wamock, Urbana, O. 

Hon. Geo. H. Thurston, President 
Pittsburgh Board of Trade. 

Hon. W. C. McCarthy, Mayor of 
Pittsburgh. 

Hon. L. L. McGuffin, Xew Castle, 
Penn'a. 



Cases of Nasal Catarrh and Laryngitis. 

Manxingtox, Marion, Co., TV". ) 

Ya., March 1, 1869. j 

Dr. J. W. Sykes : Dear Sir— I 
have long intended to communicate 
to the public the results of your 
treatment in my case. 

Ten years ago I consulted you by 
letter for a dreadful Catarrh and 
Bronchitis, which threatened to 
terminate my life. I had Xasal 
Catarrh a long time, and the offen- 
sive discharge finally gave rise to 
ulceration of the back parts of my 
nose. The irritation had also ex- 
tended down my windpipe, causing 
much coughing. In addition to 
these troubles, my stomach and 
other digestive organs were badly 
diseased. 

I consulted you by letter, and am 
happy to testify that your treatment 
promptly arrested the ulceration, 
and in a few months entirely re- 
stored my health, and it has to this 
clay remained good. 

Truly yours, B. N. Xeely. 

Greeley, Col., Aug. 28, 1871. 

Dr. J. W. Sykes: Dear Sir— I 
have been cured by your treatment 
of that distressing disease, jSTasal 
Catarrh, with which I hadbeeen a 
long time afflicted, and I never en- 
joyed better health than now. 

You are at perfect liberty to use 
my name or refer any one to me, for 
I was certainly cured of Catarrh by 
your treatment, 

Bespectfully yours, 

Mrs. Mary McElroy. 



From Rev. Geo. H. Brown of Erie 

M. E. Conference. 
Espyville, Crawford Co., Pa,, ) 
June 28th, 1871. ) 
Dr. Sykes: Dear Sir— My 
health is in every respect improv- 
ing. I feel that I am permanently 
cured of the Catarrh, I have been 



greatly benefited by your' treat- 
ment. I shall ever esteem it a 
pleasure to recommend your treat- 
ment and counsel to the afflicted. 
Kespectfully yours, 
George H. Brown. 



Corsica, Pa., Dec. 12, 1870. 
Having tried, without relief, the 
remedies of other physicians for 
Nasal Catarrh, which had annoyed 
me very much for about two years, 
I consulted Dr. Sykes, and as it is 
now about two years since the symp- 
toms of the disease disappeared, 1 
have every reason to believe that 
his treatment, under Providence, 
was instrumental in effecting a com- 
plete cure. It was also very bene- 
ficial in improving my general 
health, which had become much 
impaired. 

Miss M. F. Ritche'y. 



Case of B. Jones, No. 72 Fifth Avenue, 

Pittsburgh, Pa., Nasal Catarrh and 

Ozaena, Left Lung affected, &c. 

For several years before consult- 
ing Dr. Sykes I had been coughing 
more or less and spitting much 
heavy yellow and dark colored mat- 
ter, and on one occasion spit con- 
siderable blood. I was also troubled 
with Nasal Catarrh in its worst 
form, my nasal cavities filling with 
thick offensive matter, causing at 
times violent pain in my head. I 
had a great deal of severe pain in 
my breast ; also, shortness of breath, 
night sweats, loss of appetite, and 
was much reduced. I had been un- 
der several physicians, among others 
the late Dr. Irish, who said I was 
in confirmed consumption, and 
could not recover. I consulted Dr. 
Sykes in March, 1867, and following 
his treatment a few months, found 
my Catarrh and Lung disease re- 
moved, and have had no recurrence 
of them. 

B. Joxes. 

Pittsburgh, July, 1872. 

Bronchitis and Laryngitis, with Com- 
plications. 

Extract from a letter of the KeY . 
I. M. O'Flyng, to the former editor 
of the Pittsburgh Christian Advo- 
cate : 

Dear Brother Baird:— Will 



34 



you allow me space in your paper ! 
to say a word or two which may be | 
of importance to some of your read- | 
ers? * * * [A portion of the 
letter relating to church and min- 
isterial business is here omitted.] 

One other thing I wish to say for 
the benefit of the afflicted, and es- 
pecially for my brethren who suffer 
from these scourges of the ministry 
—Chronic Sore Throat and Bron- 
chitis. 

It is well known to many that lit- 
tle over a year ago I was so reduced 
by bronchitis as to be scarcely able 
to walk. At that time I was in- 
duced, as a last resort, to apply to 
Dr. J. W. Sykes, of your place, feel- 
ing that if his mode of treatment 
did not effect a speedy change, my 
work on earth was about closed. 
From the time I began his treat- 
ment my health has steadily im- 
proved. I have now reached my 
former weight, and have no pain in 
the chest or throat. In short, I am 
what I never expected to be— a 
sound man. I am not apt to be en- 
thusiastic, but so great is my confi- 
dence in his mode of treatment that 
if I had a near friend laboring un- 
der any lung disease I would coun- 
sel him to cross the ocean, were it 
necessary, to consult Dr. Sykes. I 
write this, not for his sake, but for 
the benefit of those who suffer as I 
did. Yours in Christ, 

I. M. 'OTlym. 
New Albany, Ind., July 2, 1859. 

The above letter was published 
in the Advocate without my knowl- 
edge or solicitation, and subsequent- 
ly I wrote to Mr. O'Flyng for per- 
mission to use it, and received the 
following reply : 

Dr.. Sykes : Dear Friend— After 
traveling around some time, yours 
of Sept. 18th finally reached me. 
As to your request, you have my 
full and glad consent to use my 
name as you desire. My cure by 
your treatment was radical; and 
though I have suffered lately from 
Chronic Diarrhoea, I have felt none 
of the old malady. 

I remain your grateful friend, 
I. M. O'Flyng. 

Wortiiixg-ton, Green Co., Ind., 
Nov. 18, 1864. 



From Rev. W. H. IIaxey : 

Cedarville, Ohio, May 26, 1869. 

Dr. J. W. Sykes : Dear Sir— I 
regret having so long neglected to 
drop you a note in regard to my 
case. You may rest assured, it is 
not for lack of gratitude for your 
successful treatment of my difficul- 
ty. 

My Lungs give me no trouble, 
and the Catarrhal difficulty in my 
nose and throat are, I feel sure, 
giving way before your treatment. 

If it will be of any service to you, 
or a means of directing any other 
suffering fellow mortal to your 
treatment of Lung Diseases, I have 
no objection to your using this as a 
reference. Feeling that I have re- 
ceived great benefit from your treat- 
ment, I am willing to tell of it for 
the benefit of my friends. 

With best wishes, I am sincerely 
your friend. 

W. H. Haxey. 



Prospect, Butler Co., Pa., ) 
Dec. 18, 1862. / 

Dr. J. W. Sykes, Dear Sir— I 
consulted you in October, 1860 for a 
severe cough which had troubled 
me about a year, and had been very 
severe for about six months. I was 
greatly reduced in strength, was 
raising thick yellow phlegm, or mat- 
ter, and had night sweats. You 
said I had severe Bronchitis, but 
gave me much encouragement of 
recoverv. This was better than I 
had expected to hear, and I adopted 
your treatment, and the result was 
a speedy restoration of health, which 
remains good. My chest was ex- 
panded two inches, and my weight, 
which was only 113 pounds, has 
been increased to 145. I can confi- 
dent! v recommend invalids to adopt 
your treatment. Truly yours, 
Simon Stickle, Jr. 

Mr. Stickle still resides as above. 



Fraxkfort,0., March, 8, 1870. 

Dr. Sykes— Dear Sir: It Avas 
truly a pleasant surprise to receive 
a note from you after the many long 
years which have intervened since 
I last heard from you. 

I have ever held your name in 
grateful remembrance, and have 
often thought of you as the one 



35 



whom God saw fit to make the in- 
strument of saving my life. 

I have never been under the care 
of a physician since you treated me 
m 1859. My health gradually im- 
proved until I could say I enjoyed 
comfortable health. I have not had 
any hemorrhage of the lungs since 
I used your treatment, and I nei- 
ther cough nor expectorate. You 
never had a patient that held you 
in more grateful remembrance, or 
was better satislied with your treat- 
ment than I. 

Respectfully yours, 

C OR DIE F. SHEPHERD^ 



Browxsyille, June 13th, 1S5S. 

Dps. Fitch & Sykes :— Feeling 
some delicacy in consenting to the 
use of my name in connection with 
any communication for the public 
eye, no consideration would have 
been sufficient to overcome my re- 
luctance to do so, but a sense of jus- 
tice to your professional skill, and 
of duty which I feel that I owe to 
others' who may be similarly afflict- 
ed with myself, and may be seeking 
that relief and restoration of health, 
which under Providence, I have so 
happily experienced at your hands. 

Waiving medical technicalities, 
with which I am not very familiar, 
I will proceed to give a plain state- 
ment of my case when I first ap- 
plied to Dr. C. M. Fitch, at Pitts- 
burgh, in 1855, and of the beneficial 
effects which I experienced from 
his treatment, and subsequently 
from that of Dr. Sykes. I was, and 
for a considerable time had been, 
troubled with a hacking and most 
-distressing cough, attended with 
expectoration, ulcerated throat, 
with so much general debility and 
complete prostration of the nervous 
system, as to render it extremely 
difficult, at times, to speak aloud, 
or to avoid exhaustion from the 
slightest physieal efforts.^ I had 
tried all the ordinary remedies in 
vain, previous to my application to 
Dr. Fitch, but by whose treatment 
at that time, and later, of that of 
Dr. Sykes, I have entirely recovered 
my usual health and strength. 

Mary E. Brown. 



Case of D. M. Gwinii, a well known 
Citizen of Rimer sburgh, Pa. Cured 
of Rheumatic Bronchitis. 

Eimersbtjrgh, Clarion Co., Pa., ) 
June 20, 1873. ) 

Dp. J. W. Sykes : Dear Sir— I 
seat myself to acknowledge with 
humble gratitude to the Giver of 
all good, the results of your medi- 
cal skill in my case. 

When I consulted you in June of 
last year I could not lift 20 pounds 
and was unable to do any work. 
I had severe pain in the breast and 
shortness of breath, and great gen- 
eral debility. From use of your 
treatment I am now well and able 
to work daily. Truly yours, 
D. M. Gw r iNN. 

Prospect, Butler Co., Penn., > 
May 10th, 1870. ) 
Dr. J. W. Sykes : Dear Sir— I 
have delayed writing to you longei 
than I intended. I have to con- 
gratulate both you and myself on 
the good effects your treatment has 
had on myself ; it has restored me 
to my usual health again. My 
cough is entirely well. I feel very 
thankful to you and a kind Provi- 
dence, and I hope that your days 
on earth may be many and hapgp. 
Be sure I shall never forget the 
great debt of obligation I owe you. 
Yours truly, 

M. A. McCOLLOUGH. 



Great Bexd, Kansas, ) 
March 1, 1873. ) 
Dr. J. W. Sykes : Dear Sir— 
you remember I was to see you in 
Pittsburgh in May, 1866, 1 lived at 
Winfiekl, West Virginia, you treat- 
ed me for Bronchitis. I w T as en- 
tirely cured by your skillful treat- 
ment, and have been well until the 
present time. Yours truly, 

•Charles B. Woeden. 



CASES OF ASTHMA. 



Asthma, Bronchitis, and Dyspepsia, 
of over Thirty Years' standing-, 
Entirely cured. 

No 204 Liberty Street, ) 
Pittsburgh, Pa. , March 18, 1866 ) 
Dr. J. W. Sykes— Dear Sir: In 
1S64 1 consulted.you for severe Asth- 



36 



ma and Bronchitis, which I had 
from childhood. The Phthisic was 
so severe at times that I could only 
get my breath at night by sitting 
up, having windows and doors open- 
ed. I was also much troubled with 
Dyspepsia. Three months before 
consulting you I was so much re- 
duced that my family physician 
said I could not live six- months. 
As I am of a consumptive family, 
and was so much reduced, you did 
not speak very confidently of my 
recovery, but thought I might be 
benefited and my life prolonged. I 
placed myself under your care, and 
improved rapidly until my health 
was entirely restored, and I have 
since remained entirely well of my 
old ailments, and in good health 
every way. 

Yours respectfully, 
Maky L. M'Candless. 



Two other Cases of Long Standing 
Cured. 

No. 283 North Avenue, \ 
Allegheny Pa,, October, 1871, J 
Dr. J. W. Sykes: Dear Sir— I 
desire to state for the encourage- 
ment of those who may be afflicted 
as I have been, that I have been 
cured by your treatment of severe 
Spasmodic Asthma, from which I 
had suffered at intervals from child- 
hood. I placed myself under your 
care in the summer of 1869, since 
which I have been free from Asth- 
ma, and have enjoyed better health 
in other respect's than I had pre- 
viously known. Those who have 
struggled, as I have done, day and 
night for weeks together to get a 
single comfortable breath, will un- 
derstand how highly I appreciate 
the immense benefit I have derived 
from your treatment. 

Kespectfully yours', *•. 
Mrs. Fanny Holland. 



Bev. W. M. Mullenix, of West Vir- 
ginia M. E. Conference. 

MORGANTOWN, WEST VA., { 

January 17, 1872. j 
Dear Doctor Sykes : I take 
great pleasure in informing you 
that I am cured of Asthma. 

By following your advice and tak- 
ng your remedies, I am now by the 



Divine blessing delivered from that 
unpleasant disease. My appetite is 
good and I can sleep all night.. My 
weight has increased,. and I can do 
twice the work I did a year ago, 
and with less fatigue. My voice is 
i deeper r fuller,. and clearer than ever. 
Yours sincerely,. 
W. M. Mullenix. 



White Ash P. O.,} 
Allegheny Co., Pa., 
September 12th, 1867. ) 

Dr. J. "W. Sykes : Dear Sir— I 
consulted you in the Fall of 1858,. 
being then extremely reduced by 
severe Asthma and Bronchitis. I 
had consulted several doctors, who 
pronounced me incurable, and said 
I ought to settle my affairs as I 
could not live longer than spring. 

I had often sat in my chair nearly 
all night with windows raised, and. 
even then could scarcely breathe 
enough to keep me alive. My cough 
was very violent,, and I raised large 
amounts of yellow corrupted look- 
ing matter. 

I adopted your treatment, and in 

two or three months had gained, at 

least, thirty-five pounds, and since 

that time have enjoyed good health* 

Wm. Sproul. 



Pittsburgh, Pa., Jan. 30, 1873. 

Dr. J. W. Sykes : Dear Sir— 
You treated me seven years ago 
with complete success for Asthma, 
with which I had suffered a long- 
time. I had a terrible cough, and 
the difficulty of breathing was so 
great I could not lie down at night, 
and w T as unable to work. Your 
treatment effected a complete cure, 
and I have been well from that 
time. Yours respectfully, 

James S. Hanlon, 
Boundary St., near Thirty-second. 



Hooker, Butler Co., Pa., \ 
March oth, 1874. ) 

Dr. J. W. Sykes : Sir— I was 
attacked with Asthma in August, 
1870. It would come on in the 
evening and about midnight. I 
would have to get up and sit about 
an hour or two hours, and was so 
terribly choked it seemed I could 
not live, when it subsided I could 



3.7 



lay down and sleep three or four 
hours : 1 coughed and spit a tough 
ropy mucus." After trying many 
remedies without relief , I saw your 
a Ivertisement. and wrote to "you 
stating my case, and you sent me 
remedies which relieved me right 
away, and by continued treatment 
was cured, and have not been troub- 
led with it since. I have had sev- 
eral severe colds but no Asthma. 
I am now 63 years of age. 

You may publish this if you think 
it will induce any who are afflicted 
as I was to apply for your most val- 
uable treatment. Yours Truly. 
Axdrew Russell 



USES OF MIffM 

Jeffersoxville, III., V 
Sept. 6th, 1860. ) 
Dr. J. W. Sykes : Dear Sir— A 
year since I was in advanced con- 
sumption, and so exceedingly weak 
and emaciated, that I " could 
scarcely get about. I had been 
coughing twenty-two months, and 
was raising great quantities of 
thick, yellow matter. After exam- 
ining my chest you said my right 
lung was gone at the top, and was 
ulcerating below the cavity, and 
you told me it was barely possible 
that I could get well. The ribs at 
the top of my right breast were a 
good deal sunken in. I began your 
treatment and immediately began 
to improve, and have continued to 
gain ever since, and now am able 
to do a great deal of farm work. I 
have got quite fleshy, and my chest 
.measures four or five inches more 
than it did a year ago. I shall al- 
ways feel grateful to you. 

John Shafer, 
Mr. Shafer still resides as above. 



Portersyille, Butler Co. Pa | 
May, 9, 1S67. j 
Dr. J. W. Sykes: Dear Sir— In 
March, 1861, while in the army, I 
was attacked with camp measles, 
which did not come out well, but 
left me with a bad cough, and spit- 
ting of blood and matter. This 
grew worse, till l was thought to be 
incurable, and was so reduced I had 
:to leave the army. 



When I got home, I concluded 
to consult you ; and when I started 
to visit you, I was so low that my 
friends said that I could not stand 
the fatigue, and they did not expect 
to see me return alive. 

I had been then coughing eight 
months, had lost all my flesh, and 
had frequent night sweats, and 
other symptoms of advanced lung 
disease. 

You, yourself, considered my case 
a very bad one, and told me my 
prospects of recovery were very 
slight ; but I am happy to testify 
that your treatment did more for 
me than you promised, and has 
been the means, under Providence, 
of restoring me to excellent health. 
Yours truly, 

Samuel A. Moore. 



Cleveland, O., April 7, 1866. 

Dr. J. W. Sykes: Dear Sir — 
I write this to express my sense of 
obligation to you for the interest 
you have taken in Mrs. Gillet's case, 
and for the valuable medical help I 
believe you have been to her. I 
still believe, that you under God, 
were the means of arresting steadily 
advancing consumption, when I 
applied to you for her, in 1860. The 
reviving symtoms of former diffi- 
culties, with new evidences of pul- 
monary disease, have again been 
checked by your treatment, taken 
for two months past, and we are 
hoping for comparative soundness 
again. 

Prom the knowledge I have 'of 
your method of treating Pulmonary 
and Chronic Diseases, I have a real 
pleasure of recommending you to 
the afflicted. You are at liberty to 
use this unpaid contribution in any 
way you please. Yours truly, 
E.S. Glllett, 

Pastor of First M. E. Chnrch, 
Cleveland, Ohio. 



Oakland. Armstrong Co., Pa., \ 
' December 31, 1862. ) 
Dr. Sykes : I think I am doing 
no more than my duty in making 
known what you have done for me. 
When I applied to you in January, 
1861, it was thought by others, and 
I myself believed that I was in the 
last stage of consumption. I had 



38 



used various remedies without ben- 
efit. My physician gave me up; 
said he could do nothing for me ; 
that I could not live six weeks. 
Remedies brought no relief. Swift- 
ly the inexorable distemper was 
dragging me down to the grave. A 
distressing cough, hectic fever, 
chills, pain in left lung,, and all the 
horrible symptoms of consumption 
were fast doing their work ; but I 
thank God that I went to you. I 
had not used your medicines a 
month till I got relief ; appetite re- 
turned, and rest and strength. Who 
that has not been so afflicted can 
realize the joy that hope brings 
when the sufferer feels that an an- 
tidote has broken the disease ? 
Slowly my constitution built up its 
shattered fragments. I have not 
y et recovered my full strength, but 
now enjoy good health. 

That I feel grateful to you and to 
that higher Power, of which you 
are the instrument, for the years 
that are spared to me, God, who 
knoweth the secrets of every heart, 
is my judge. 

Miss Maggie Anthony. 

Since the above was written Miss 
Anthony has died of Erysipelas, but 
her father, Mr. James Anthony, 
can substantiate the statement. 



suit shows me plainly that there is-- 
a possibility of curing Consumption, 
even in its advanced stages. 
From your friend and well-wisher,. 
A. P. Taylor. 



Orange, Mahoning Co., O., ) 

May 18,1866. f 

Dr. J. W. Sykes : Dear Sir— We 

received your letter, and would say 
in reply that Mrs. Taylor's health 
is as good as ever it was,, and she 
can do all her housework for five 
workingmen . She is hearty , strong , 
and fleshy, and can do more labor 
than she ever did, though she was 
pronounced incurable by our two 
family physicians before I took her 
to Pittsburgh to consult you. 

At the same time my sister was 
sick with consumption, which she 
took about the same time my wife 
was taken, and the same physicians 
pronounced my wife's case the 
worst, and she was of the most deli- 
cate form. But under your treat- 
ment she speedily recovered, while 
my sister, under the common treat- 
ment, went down by degrees, and 
now sleeps with the dead. 

Some of my friends opposed my 
trying your treatment, but I acted 
on my own judgment, and the re- 1 



Masontown, Favette Co., Pa., ), 
October, 1862. ) 

Dr. J. W. Sykes : Dear Sir— I 
consulted you in 1857 for lung dis- 
ease of five or six years standing. 

I was greatly reduced in flesh and 
strength, and being of a consump- 
tive family was considered incura- 
ble by my physician and friends. I 
had a hard cough, and expectorated 
large quantities of heavy matter. I 
was also troubled with severe pain 
in my chest, also with night sweats. 
and daily chill and fever. 

You told me my right lung was 
badly diseased,. and you could give 
me but little hopes of recovery. But 
on adopting your treatment I gain- 
ed very rapidly; and in a few months 
was entirely well, and have since 
then been really stronger than I had 
ever been before. 

My mother, who also consulted 
you for distressing chronic com- 
plaints, wishes me to tell you your 
treatment restored her "to good 
health. Yours truly, 

Jacob Boice. 



Waterson's Ferry, Pa . , ) 
May 35, 1867. f 
Dr. J. W.. Sykes; Dear Sir— I 
feel it to be my duty to you, and to> 
the public/at large, to say that after 
using your treatment for consump- 
tion for three weeks, our daughter,, 
who was scarcely able to walk„ 
ceased coughing, and in three 
months was entirely well. She had 
been coughing three years. 

s/j. Carr. 
Captain of towboat Hatck Eye. 



Orange, Mahoning Co., O., > 
May, 27, 1861. f 

Dr . Sykes : Dear Sir — I desire 
to express my thanks to you for the 
interest you have taken in Mrs.. 
Justice's case, and for the valuable 
assistance you have rendered her. 

She is of a consumptive family, 
and when she consulted you that 
disease was most evidently estab- 



39 



hshed in her lungs, and was steadily 
advancing, but your treatment was 
the means of promptly arresting and 
removing it, and her' general health 
is now better than it has been for 
years. Respectfully yours, 

Morrisox Justice. 

Fair view, Jones Co., Iowa, ) 
November 9th, 1866. j 

Dr. J. W. Sykes : Dear Sir— If 
you are still in practice in the city, 
will you oblige me by mailing me 
one of your circulars, for I have 
hunted our Pittsburgh papers in 
vain for one of your advertisements, 
and thought perhaps you had left. 

There are persons dying monthly 
in this vicinity from consumption. 

Under your treatment, a few 
years since, my mother and uncle 
were restored to unimpaired health, 
and I am desirous to know where 
to consult you. 

Very truly yours, 
D. J. Stewart. 



COKSUMPTIONiitt Complications. 

INCIPIENT CONSUMPTION ANJtt 

DYSPEPSIA. 



Statement of Mr. 77. H. McClinton, the 
Well Known Dealer in Books, Station- 
ery, &c. f 132 Federal Street, Alle- 
gheny. 

Dr. J. W. Sykes: Dear Sir- 
when I consulted you in 18651 was 
much reduced in flesh and strength 
by dyspeptic troubles of longstand- 
ing. I had for some t time a dry 
hacking cough, with shortness of 
breath, pain in chest, occasional 
chills, and other indications which 
led my friends to fear my lungs 
were becoming affected. The fact 
that some of my relatives had died 
of consumption also seemed to jus- I 
tify their fears: On examination ! 
you thought the upper part of my i 
right lung slightly affected,. but en- ! 
couraged me to hope for a restora- I 
tion of my health. 

Your treatment comprised Medi- 
cated Inhalations, with other med- 
ical and hygienic means, and re- 
sulted in my complete recovery 

You are at liberty to use this 
as you think best. (Signed) 

W. H. McClestton. 



Case of S. H. Sitler, Esq., of Leetonia, 
Ohio, Sick Fifteen Years, Disease of 
Lungs and Heart, Frea.uent Hemor- 
rhages, Sec. 

Dr. J. TV. Sykes : Dear Sir— I 
feel it my duty to make a just ac- 
knowledgment to you of the benefit 
I received of vour treatment from 
April to September, 1869. When I 
resorted to j r ou I had but little hope 
of a recovery, as I had hemorrhage 
of the lungs almost daily during 
twenty-two months previous, to- 
gether with an affection of the 
heart, so that I could not lie on my 
left side during a period of fifteen 
years. The cough, pain, and con- 
stant oppression of the breast made 
life a burden. After taking your 
treatment for three months, I felt 
a decided improvement ; the hem- 
orrhage of the lungs had ceased al- 
together ; the oppression of the 
breast, cough, &c, were much bet- 
ter, with a decided improvement of 
my general health ; so that I com- 
menced the second course of three 
months' treatment with more hope. 
After continuing the treatment 
(altogether five months). I felt my- 
self entirely well— could lie on 
either side and breathe freely. Yet 
I could hardly believe the cure a 
permanent one. But now, fifteen 
months have passed, and no recur- 
rence of h morrhages, no cough, 
and I have regained my former 
weight ; so that I now feel thank- 
ful to God, and to you for your in- 
valuable treatment in my case, and 
shall not cease to recommend others 
similarly afflicted to your treat- 
ment. ' Yours respectfully, 
S.H. Sitler. 

REMARKABLE RECOVERY 

FKOII 

Consumption of Lungs aM Bowels. 



Statement of J. T. Stitt, Esq., Book- 
keeper for the Well Know Coal 
Merchants, Wm. H. Brown & Co. 
25 Smithfield St., Pittsburgh. 
Dr. J. W. Sykes: Sir— It is 
with great pleasure I take the op- 
portunity of saying to the n inner 
ous victims of consumption in our 
city. ;t Be of good cheer" there i 



40 



hope even for the feeblest. A little 
more than a year ago, my wife was 
very low with consumption of the 
lungs and bowels : she had then 
been sick over a year. She had a 
very bad cough and expectoration, 
and had diarrhoea all the time for 
several months. She was so thin 
and wasted that former friends did 
not recognize her. In fact we 
thought, and her physician said, 
she must die. He ordered herbs 
and wine to keep her up as long as 
possible, and said that was all he 
could do. We consulted another 
physician who also said it was a very 
bad case. By an overruling Provi- 
dence we were directed to Dr. Sykes 
and, hoping against hope, we plac- 
ed her under his care. In two 
weeks there was a marked change 
for the better, and she continued to 
recover rapidly. She still has some 
cough and continues under Dr. 
Sykes' care, but is so well that for 
seven or eight months she has been 
able to do her own work. Under 
God we think her recovery is due 
to Dr. Sykes treatment. 

J. T. Stitt. 



ADVANCED CONSUMPTION 

ENTIRELY CUBED. 



Jollytown, Green Co., Pa., \ 
April 19, 1864. ) 

Dr. J. W. Sykes : Dear Sir — 
When I consulted you, little more 
than six years ago, I was reduced 
almost to a skeleton. I had been 
coughing severely, and raising 
heavy matter for a year and had 
doctored with the best doctors I 
could find, and grew worse all the 
time. My friends had given me up. 
and I believe had I not consulted 
you that three or four months would 
have ended my earthly career. You 
also gave but very slight encourage- 
ment, but said 'if I wished, you 
would do what you could. Your 
treatment soon afforded relief, and 
now I am happy to say it has, 
through the blessing of God restor- 
me to health. I weigh ten or fif- 
teen pounds more than I did before 
I took the lung disease, and can do 
a good days work. 

lam most thankful for the bene- 
fit I have received, and hope this 



statement of my case may induce 
others who are suffering as I was 
to try your treatment. 

Mrs. Jas. G. White. 
Several years after the above was 
written Mrs. White died of Cholera 
morbus, after a few hours illness. 
Mr. White, however, still resides 
as above and can verify the state- 
ment. 



CASES OF HEART DISEASE. 



Case of J. W. Miller, of Sharpsburg, 
Cured Ten Years. 

Sharpsburg, Pa. Nov. 11, 1872. 

Dr. J. W. Sykes: Dear Sir— I 
deem it due to invalids who may be 
suffering from Heart Disease, as I 
once suffered, and to you, through 
w^hose instrumentality I found re- 
lief, to state my case publicly. 

It is now ten years since I first 
consulted you, after suffering many 
months with great distress about 
the Heart, which would often stop 
beating for one or two pulsations, 
and then palpitate violently, at- 
tended with a ruobingor humming 
sound, and causing a feeling as if I 
would smother. 1 also had much 
pain in my head and derangement 
of my stomach, kidneys, &c. I was 
so much reduced that I could scarce- 
ly get to your office, and was great- 
ly discouraged, as I had consulted 
other noted Physicians in the city 
without relief. 

I am happy to state that a course 
of your treatment resulted in my 
complete recovery, and I have en- 
joyed excellent health ever since. 
I was induced to consult you by 
Mr. William Brown, who said that 
his wife and his brother had both 
been cured of Heart Disease by 
means of your treatment. 

John W. Miller. 



Clarksburg, Harrison Co. Va., ) 
January 9, 1863. ) 
Dr. J. W. Sykes : Dear Sir— I 
wish in gratitude to testify to the 
cure you have effected in my case. 
I was afflicted with an organic dis- 
ease of the heart for at least five 
years, together with other distress- 
ing ailments. My trouble first be- 



41 



gan with slight palpitation when 
walking fast, or up hill or stairs. 
I'had much sharp pain about my 
heart, and much soreness there. At 
times my heart would stop beating 
for several seconds, and then pal- 
pitate with exceeding violence, and 
inv breath would seem entirely cut 
oft My head was badly affected 
with pain, partial deafness, dimness 
of vision, Arc. In addition to these 
troubles I had a bad skin disease 
for several years. When I consult- 
ed you I felt that I had not long' 
to live, but I am happy to be able 
to say that from the day I began 
your 'treatment I began toirnpruve 
and have been rapidly recovering 
ever since, and for many weeks 
• past I have felt as well as ever I 
did in my life. 

Yours" with the warmest regard, 
JohxH. ForsE. 



West Xorthfelid Cook Co. 111. | 
March 2, 1S65. ) 

Dr. J. TV. Sykes : Dear Sir— I 
am happy to inform von that your 
treatment has effected in my case 
all and more than all you promised 
or I had hoped. The palpitation 
of the heart is gone, and its action 
is now regular. My appetite is 
natural, bowels regular, and that 
terrible distress in the head has 
ceased entirely I feel as if I had a 
new head. 

I had, as you will remember, been 
sick about a year when I came to 
you, and unable to do anything. 
My father had died of disease of the 
heart, combined with other diffi- 
culties. 

I have been so well this winter 
that I have done most of my own 
work The distress and wind at 
my stomach does not trouble me at 
all, if I am reasonably careful in my 
diet. I thank you very much for 
the benefit I have received, and 
hope you may be equally success- 
ful in every case you treat. 

Very truly yours, 
A. W. Peet. 



I have had no palpitation for almost 
three months. The neighbors say 
I look like another person, I look 
so much better. 

Respectfully yours, 
Mrs. Mary A. Headlee. 

Mrs. Headlee had been afflicted 
for months with most violent pal- 
pitation of the heart, occurring in 
paroxysms lasting two or three 
hours. She also had pain about the 
heart, and other symtoms of organic 
disease of that organ. 



PULHOXABT HEMORRHAGES 
AND CHRONIC BXARRHCEA. 



Mt. Morris, Greene Co.. Pa., ] 
July 81. 1S65. ' J 
Dr. Sykes : Dear Sir— I have 
improved very fast during the last 
month . Have gained eleven pounds. 



Statement of Mr. J. H. Scott, of Port- 
Perry, 
Port Perry, Allegheny Co. Pa. ) 
January 11, 1873. ) 

Dr. J. W. Sykes: Dear Sir— 
for the benefit of others who may 
be afflicted as I have been, I wish 
to make a public statement of my 
case, and I wish it especially notic- 
ed that I was cured by your treat- 
ment, after trying without any 
benefit a number of prominent Phy- 
sicians, includiug several who ad- 
vertise special skill in treating 
Chronic Diseases ; but Patent Med- 
icines, Electricity and ''regular" 
prescriptions alike failed. In 1863 
I was discharged from the army on 
account of alarming Hemorrhages 
from the Lungs which it was 
thought would soon prove fatal. 
From that time — about nine years 
— I had frequent copious hemor- 
rhages, and for several weeks be- 
fore consulting you I had raised 
blood daily. During the entire 
nine years I also had more or less 
cough and expectoration. 

I "was told by several Doctors 
that I had Organic Disease of the 
Heart, and upon examining me you 
concurred in their opinion. I had 
a great deal of pain about my heart, 
which became almost unendurable 
on slight exertion ; I also had severe 
palpitation, and stoppage and irreg- 
ular action of the heart, with short- 
ness of breath, sensation of smoth- 
ering, &c. My digestive organs 
were greatly disordered, and for 
three years I had continued Diar- 
rhoea. 



42 



You gave me but little encour- 
agement, but the result of your 
treatment has exceeded your expec- 
tations. From the day I began 
your treatment, about a year ago, I 
have raised no blood, and I improv- 
ed steadily till I was restored to 
comfortable health. 

For correctness of these state- 
ments I refer to John McClosky, 
Coal Merchant, A. J. Young, Post- 
master, and R. Harrison. Esq., all 
of Port Perry, Pa. [Signed] 
J. H. Scott- 



CHRONIC PNEUMONIA. 



Chronic Pneumonia is the se- 
quel or result of acute Pneumonia 
(lung fever) where, either from im- 
proper treatment, or by neglect of 
treatment, it is not cured. Acute 
Pneumonia usually commences 
with a chill, followed shortly by a 
burning fever with bounding pulse, 
great tightness and oppression of 
the chest, rapid and difficult breath- 
ing, and sharp, stitchlike pains 
through the lungs on coughing or 
taking a full breath. If judicious- 
ly treated it will generally pass oif 
in a few days or weeks,- leaving the 
lung well again. But, if not well 
treated or neglected, it may pass 
into the chronic form of the disease, 
in which the fever is absent and the 
appetite restored ; but the shortness 
of breath, with much general weak- 
ness, remains, with considerable 
cough, but little or no expectora- 
tion. In this form of the disease a 
portion of one or both of the lungs 
is rendered solid, so that no breath 
enters it, and is said to be hepatized 
because it has been found to resem- 
ble the liver when cut open. Chron- 
ic Hepatization is usually consider- 
ed incurable, but I have witnessed 
the complete recovery of cases of 
several years' standing. In the case 
of Mr. John B. M r Cune, whose let- 
ter will be found below, there had 
been extensive hepatization exist- 
ing for some fifteen months, and 
considering his age and that he was 
extremely reduced, his recovery 
was somewhat remarkable. 

In persons of a consumptive fam- 
ily, this form of disease is liable to 



be followed speedily by Tubercular 
Consumption. Chronic Pneumonia 
is very liable to follow Typhoid 
Fever, especially when the latter 
disease is treated with Calomel or 
Blue Mass. 



Xorth Washington, West- ) 
inoreland Co. March 6, 1874. ) 

Dr. J. W. Sykes : Dear Sir— 
From the spring of 1871 to that of 
1873 I suffered greatly from Dys- 
pepsia, Liver Complaint, etc. My 
stomach was inflamed and sore, I 
had pain in my right side and my 
bowels and kidneys were greatly dis- 
ordered. I consulted several Phy- 
sicians, took many medicines with 
no permanent benefit. In the latter 
part of May last, I was prostrated, 
and failed so fast that in a short 
time I lost 32 pounds, and was so 
weak I could speak but few words 
at a time. I had several Physi- 
cians, both separately and in con- 
sultation. They said I was incur- 
able, that I had so many diseases 
one worked against the treatment 
necessary for the other— that my 
right lung was almost gone, and my 
stomach, liver and kidneys badly 
diseased, and that I must soon die. 
At length I got a little stronger, 
but they said it would not last, and 
one of them said he would give me 
about four weeks to live. 

I then proposed to consult you, 
but they said you were a quack and 
could do nothing for me. 

However, on the last day of July 
I consulted you. You said my 
right lung was badly hepatized, 
and my system otherwise injured 
by the mercury and other strong 
drugs I had taken, but you could 
see no reason why I could not re- 
cover by proper treatment. 

I placed myself in your care, and 
improved rapidly, and now enjoy 
reasonably good health. I have re- 
gained my former weight and 
strength. I have no soreness or 
pain, my lungs, stomach, bowels, 
liver and kidneys act as well as they 
ever did. 

I feel thankful to God and to 
your invaluable treatment and shall 
not cease to recommend it to those 
afflicted as I have been. 

Truly yours, 
John W. Young. 



4a 



Case of John B. ITCune, Esq., of Eliza- 
beth, Pa. 
Elizabeth, Pa., March 25 , 186& 

Dr. J. W. Sykes : Dear Sir— It 
is nearly two years since I first con- 
sulted you, and the change which 
your treatment has made in my 
health has been very great. 

Fifteen months before I con- 
sulted you I was attacked with 
Typhoid Pneumonia, and lay in bed 
two months, and when I got up it 
was with a very bad cough and ex- 
pectoration, and severe pains in 
both lungs, and night sweats, &c. 
I was greaily reduced in flesh, and 
so weak and short of breath I could 
hardly go round. You told me my 
disease was of a curable nature, 
but could not give me very strong 
encouragement, because I was six- 
ty-three years of age. I adopted 
your treatment, however, and am 
happy to testify that it has proved 
the means of entirely restoring my 
health. Yours, 

Johx B. McCuxe. 



DYSPEPSIA, 
LIVER COMPLAINT, 4c. 

McClelaxdtowx, Pa., ) 
March 25, 1867 j 
Dr. Sykes: Dear Sir— I must 
acknowledge the benefit I have de- I 
rived from your treatment in one t 
of the most complicated cases of 
ten years' standing. When I visit- 
ed you last summer, I was in the I 
greatest imaginable distress I i 
cannot describe my feelings in any j 
fitting manner. 

My stomach had been diseased 
so long that it had the symptoms 
of cancerous disease. My liver was 
swollen as hard as a rock and filled 
me so full that it alone was inde- j 
scribable misery to me— -and all | 
from ignorant physicians pouring 
mercury into my system.. I had i 
partly lost the hearing of my left 
ear, and had a scum over my "eyes ! 
so that objects at a little distance ! 
from me appeared double. These 
are not a twentieth part of my j 
sufferings. 

In two months, under your treat- ! 
ment, my sight and hearing became ' 
perfect, and I am now in good 
health. 8 



lam most thankful to you, and 
remain yours, respectfully, 

Mrs. Axxa Rader. 

Hope Church, ) 
Allegheny Co., Pa., > 
March 10, 1858. ) 
Dr. J. W. Sykes : Dear Sir— 
j After several years of ill health 
i and suffering, I was induced to 
| consult you one year ago in Pitts- 
burgh. My liver was greatly en- 
I larged and I had a dull heavy pain 
in my right side and shoulder, and 
I severe pain in the back and weak- 
, ness in the stomach of such a na- 
, ture that I could not walk but a 
| very short distance without sitting 
down to rest. I was troubled with 
! drowsiness so much that I would 
fall asleep whenever I sat down, 
i and many times could scarcely keep 
| awake on my feet. 

I was also troubled with costive- 

| ness and suffered greatly from fe- 

1 male complaints. I followed your 

; directions and used your remedies, 

i and to my great gratification have 

! found my health restored thereby. 

My liver has assumed its natural 

size, and my general health is far 

better than I had ever expected it 

would be, considering the great 

amount of injurious medicines I 

had used, and the complicated and 

serious nature of my case. I shall 

feel it my duty to direct invalids to 

your treatment, and shall always 

remain Yours, gratefully, 

AXXE SlCKMAX. 

Mrs. Sickniairs present address 
is California, Washington Co. , Pa. 

Statement of Rev. T. U. Hartley, of 
Parfcersburg (W. Va.) Conference. 

[Note— Mr. Hartley had been 
afflicted for years with a distressing- 
complication of ailments, of which 
Dyspepsia, with almost constant 
Neuralgia in the head, back and 
limbs, and violent palpitation of 
the heart, with great depreesion of 
spirits, were the prominent feat- 
ures.] 

Waveblt, TV. Va. 
July 28, 1S68. 

Dr. J. TV. Sykes : Dear Sir-In 
my last I said perhaps you had bet- 
ter send more medicine. I am of 
a different opinion now. -The ma- 



44 



chinery is in good running order. 

My pleasure in eating, drinking, 
sleeping, doing, and simply in just 
living, nas returned with double its 
enjoyment and sweetness, for which 
my gratitude flows to God in heav- 
en and you on earth as instrument- 
al in doing such wonders for me. 

I go about with energy, with a 
will— oh ! how pleasant ! You can 
only imagine my joy in possession 
of health once more. I will write 
.you again. Yours as ever, 

T. M. Hartley. 



The writer of the following note 
w r as one of the worst cases of gen- 
eral dyspepsia that it has ever been 
my fortune to prescribe for. His 
stomach was evidently inflamed 
and its walls thickened. He had 
great distress after eating, much | 
belching of wind, said his stomach 
felt dead or paralyzed. His bowels 
would not act at all without physic 
—his kidneys equally inactive— his 
appetite capricious— his back very 
weak. He complained very much 
of dull, drowsy feeling, and a "tired 
-aching feeling all over." His skin 
was discolored with brown spots. 
His ill health u as brought on by 
loss of sleep and excessive applica- 
tion to his duties as telegraper in 
Government employ. 

Maxxixgtox, W. Ya., ) 
March £0, 1866. J 

Dr. J. W. Sykes : Dear Sir— In 
reply to your request I will say that 
I am quite willing you should pub- 
lish an account of my complete 
cure as effected by your judicious 
treatment. 

In conclusion allow me to thank 
you for your gift of health, and to 
say thax my health has remained 
good since restored by your treat- 
ment. Gratefully yours, 

J. "W. Preelaxd. 

From Kev. B. S. Sloan : 

Pexx Rux. Indiana Co.. Pa.. ) 
Nov. 27, 1872. J 

Dr. J. W. Sykes : Dear Sir- 
Mrs. Sloan is enjoying good health 
and doing her own work. She is 
in good spirits and has more nerve 
and vital energy than formerly, 
and has none of that languid, tired 
.and exhausted expression she had 



a few months ago. Your treat- 
ment has been blessed of God to 
her great improvement. 

Your friend, 
B. S. Sloax. 
Mrs. Sloan had a complication of 
Chronic Diseases, including Dys- 
pepsia, Female Complaints, Chron- 
ic Diarrhoea, etc, occasioning mul- 
titudinous sufferings, great debili- 
ty, and endangering her life. 

CHRONIC DIARRHCSA. 



Portersyille, Butler Co., Pa., ) 
April 28, 1866. J 
Dr. J. TV. Sykes : Dear Sir— I 
took the Diarrhoea while I was in 
the army, in May, 1863, which be- 
came so bad that I was discharged 
and hoped by coming home to doc- 
tor I might get well. I employed 
the best doctors in this region, but 
they failed to benefit me, and in 
August, 186-i, when I had been sick 
about fifteen months and was re- 
duced a little more than skin and 
bones. I consulted you. At that 
time my bowels were moved very 
often, especially during the night ; 
and the discharges contained much 
slime, and sometimes yellow mat- 
ter. I had much pain across my 
bowels, and much vomiting ; noth- 
would lay on my stomach. I also 
had constant thirst and fever, with 
chills. Your treatment helped me 
at once, and I am now enjoying ex- 
cellent health. I am very grateful 
for what you have done for me, and 
remain Yours truly, 

KOBERT MOORE. 

COMPLICATED CASES. 

Ltjxdy's Laxe, Erie Co., Pa. ) 
March 26, 1866. ) 
Dr. J. W. Sykes : Dear Sir- 
Having suffered a year and seven 
months more than tongue can tell, 
with female complaints, spinal 
weakness, heart disease, liver com- 
plaint, and dyspepsia, I became so 
emaciated that all who knew me 
or saw me despaired of my life ; my 
friends said that medical aid could 
never restore me to health again. 
I was under the treatment of the 
jnost eminent physicians in the 



45 



country, but they afforded me no 
permanent relief. 

I became so emaciated that I 
only weighed sixty pounds. It was 
about this time that I learned 
through Mrs. Hunter, of your skill- 
ful practice and immediately wrote 
to you, and in the following month 
—January, 1864 — I commenced 
your treatment and followed it six 
months. I commenced rapidly to 
gain and at the end of the year in- 
stead of weighing sixty pounds, I 
weighed one hundred and fifty, and 
am now enjoying better health than 
ever in my life before. I write this 
deeming it but justice to myself 
and my preserver to publish to the 
world what he has done for me, 
and that should there be any one 
suffering as I have done, they may 
immediately apply to Dr. Sykes for 
aid. Yours respectully, 

Mrs. M. M. Weight. 



Extract from a letter from Key. P. 
M. M : Gowan. 
Beater Falls, Pa. , { 
June 14, 1871. f 
Dr. J. W. Sykes: My Kind 
Friend— The medicine you sent me 
benefited me much, and immediate- 
ly. Through the boundless mercy 
of God, with his blessing on your 
prescriptions and medicines, I am 
better in every respect. I do not 
think that at present I need any 
medicine. Praying God to bless 
you and yours with every needful 
blessing for time and eternity, I re- 
main yours, sincerely, 

P. M. M'Gowan. 



From Eev. G. W. Richmond, of 
Parkersburg, West Ya., Confer- 
ence: 

Dr. J. W. Sykes : Dear Sir— I 
write to inquire whether you think 
you could do anything for my wife. 
Under the blessing of God I owe to 
you my present health, and I think 
my life. I have such unbounded 
confidence in your skill in all pul- 
monary affections, that I thought 
you might give relief in my wife's 
case also— (the statement of his 
wife's case omitted here.) 
Truly yours, 
G. W. Richmond. 

Parkersburg, West Virginia, 
Feb. 2, 1S66. 



From the same : 
Charleston, Kanawha Co., ) 
October 18, 1869. ) 

J. W. Sykes, M. D.: Dear Sir— 
I have long thought of writing you 
a line expressive of thanks for the 
wonderful cure you effected in the 
case of my wife, who, you will re- 
member, w T as affected with Dropsy. 

She says, under the blessing of 
God, I am indebted to you for life 
and health ; and I tell her that but 
for your skill she would have left 
this world years ago. 

You can form no just conception 
of our gratitude to you for your 
medical treatment. 

Being unable to compensate with 
earthly gifts, we are not forgetful 
of you at the holy shrine, asking 
his blessing who alone is the Giver 

G. W. Richmond. 



Nasal Catarrh, General Dpspepsia, Etc, 



Youngstown, Pa., ) 
August 10, 1S70. ) 

1)r. J. W. Sykes : Dear Friend 
— I am happy to be able to inform 
you of my further improvement, 
which has gradually continued 
since I last w T rote you. My throat 
looks and feels much better ; also 
the Catarrh in my head and nose is 
very much improved and I suffer 
very little from it now. My appe- 
tite is good, my liver is better and 
my bowels regular. Indeed I feel 
much better and stronger in every 
respect. I am following your di- 
rections in regard to diet, out-door 
exercise, using breathing tube, 
sponge bath, &c, and feel myself 
constantly improving. 

My case must have been a very 
wearisome one to you, and I think 
no one ever felt more grateful or 
appreciated your labors in behalf 
of their health as I do. Please ac- 
cept my heartfelt thanks for your 
kindness and sympathy manifested 
during my long continued suffer- 
ings, w T hich, with the encourage- 
ment you gave me, did much to 
cheer my spirits under great suffer- 
ings. 

I sincerely hope a kind Provi- 
dence may long spare your useful 
life to relieve the afflicted. You 



have done for me what other phy 
sicians failed to do. 

Yours respectfully, 

Miss Lizzie Bakbridoe. 



The writer of the following, an 
accomplished and highly intelligent 
young lady, consulted me by letter, 
which presented evidence that her 
stomach was in a state of chronic 
inflammation, (gastritis) and her 
liver congested and much enlarged. 
Her health had been impaired and 
failing for several years, dyspepsia 
having been contracted at the early 
age of fourteen by too close appli- 
cation to study. 

Marshall's Cheek, "i 
Monroe Co., Pa., > 
November 23, 1865. ) 

Dr. J. W. Sykes : Dear Sir— It 
has been a long while since I ad- 
dressed you, and I am really sorry 
to think I have so long neglected a 
plain duty. 

When you wrote me in July, 
1858, 1 was extremely reduced and 
miserable, bat soon became con- 
valescent and gained rapidly in 
every respect. Ifelt as if emerging 
into a new life, and after such pro- 
longed and indescribable suffering, 
daily and constant, but aggravated 
almost beyond endurance whenever 
I ate anything, my present health 
is indeed something to enjoy. It is 
with great thankfulnesss that I 
testify that it was your treatment 
which helped me, and that at a 
time when I least expected to re- 
cover. I have been long in ac- 
knowledgiDg this, but have not 
forgotten it, and shall al ways grate- 
fully remember your kind attention 
during the time I was your patient. 

Catharine G-. Drake. 



Dime Savings Bank, 200 Main St. \ 
Hartford, Conn., March 3, '74. ) 

Dr. John TV. Sykes : Dear Sir 
—I rise up once more on the can- 
vass of life, restored to health 
through the blessing of divine 
Providence on your instrumentali- 
ty- 

In the summer of 1870 I was with 
you personally, calling often at 
your office while pursuing your 



treatment, which has been so won- 
derfully blest to me. 

Prom there I went to Elkhorn, 
Wisconsin, and remained two years 
and returned here in May, 1872, 
since which time I have been em- 
ployed most of the time in the 
above named bank in good health. 

Yours very truly, 

James H. Shepard. 

Mr. Shepard had been dyspeptic 
thirty 3 ears. He suffered much 
with rush of blood to the head, 
Nasal Catarrh, roaring, ringing 
noises in his ears, oppression, faint- 
ness about the heart, general de- 
rangement of stomach, liver, bow- 
els, kidneys, etc., etc. 



SCROFULA and its Complications. 



Remarkable Case of Mrs. Stewart, wife 
ofRobt. Stewart, Esq., a prominent 
and well known Lumber Merchant. 

Brookville, Pa., Feb. 23, 1874. 

Dr. J. W. Sykes: Dear Sir — 
You have done so much for me that 
I cannot refuse you the small favor 
of making my case public, though 
I feel much repugnance to seeing 
my name in print. 

I first consulted you eight years 
ago, and was under your treatment 
eighteen months. I had at that 
time a scrofulous sore on my hip 
joint of eight years' standing, and 
was almost a cripple from it. The 
disease had gone to my lungs, caus- 
ing a severe cough, and my throat 
was badly affected by it, and I had 
not spoken above a whisper for 
four weeks. I had 2s"asal Catarrh 
so bad it had extended to my eyes 
and ears. 

I suffered much with pains in my 
head, chest and back. I was losing 
flesh and strength rapidly, and had 
daily chills and nightsweats. 

From this condition I was restor- 
ed to good health, and I owe it all 
to God's blessing on your treat- 
ment. Grateful for what you have 
done for me 

I remain your friend. 
Mrs. Mary H. Stewart. 



47 



Stew arts ville, "i 

Westmoreland Co., Pa., >• 
Oct. 30, 1871. ) 
Dr. J. W. Sykes: Dear Sir— 
Our boy is improving very rapidly 
under your treatment. The swell- 
ing and lumps have entirely disap- 
peared from his neck. His cough 
is better, his appetite improved and 
he rests better at night than he has 
done for many months. I feel very 
much encouraged and should like 
to continue your treatment till his 
health is restored. 

Yours truly, 
E. E. Allsworth. 



Prospect, Butler Co., Pa., ) 
April 3d, 1874. ) 

Dr. J. W. Sykes : Dear Sir— I 
write you a few lines to inform 
you that I am well and to thank 
you as the instrument under God, 
of my restoration from the verge 
of the grave to good health. 

Six years ago i injured my ancle 



which resulted in the White Swell- 
ing ; my heel bealed on both sides, 
and several large pieces of bone 
came out. I finally got better and 
able to walk, but the sores never 
healed, and about a year ago I went 
to Dr. A. G. Walter of Pittsburgh 
who performed an operation by ex- 
tracting the decayed bone. I then 
became very sick ; the Scrofula 
spread and became more active and 
he could do me no good, and for 
six weeks I w T as not expected to 
live. Abscesses broke out all over 
me ; I was taken home, became 
worse, and lay in bed all summer, 
never expecting to get up again. 
I tried four different doctors with- 
out benefit. Einally my brother 
wrote to you for treatment, and 
directly after I began using your 
medicines I commenced to improve, 
and continued to get better till 
now r I am entirely recovered. With 
heartfelt gratitude I remain 

Yours truly, 
George Heyl. 



CONCERNING TESTIMONIALS. 



The foregoing letters comprise but a small portion of the mass of 
similar ones in my possession. I am also able to refer to hundreds 
of other cases of recovery from serious disease, in which I have not 
asked, or received, a testimonial letter. It is my rule, not to publish 
any case without permission; and so many such letters are volun- 
tarily furnished, that I rarely ask for one. 

The address of some whose cases are herein published, may have 
been changed since the date of their letters. If reference is desired 
to any such, I will cheerfully, on request, ascertain their present ad- 
dress. 

K B. Let Invalids- be Forewarned. — To palUate disease is 
comparatively easy ; but to effect a complete and permanent cure is 
a difficult task. I have shown in the preceding pages,- that a cough 
may be quieted, and expectoration modified, by Medicated Inhala- 
tions, while the disease in the lungs is unchecked; and Nasal Catarrh, 
Sore Throat, and other diseases, may be made to disappear temporari- 
ly by caustic and other local remedies which cannot effect a cure. 



48 

Travelling Doctors, Inhalists, and patent medicine venders, under- 
stand this, and often when a patient has used their remedies but a few 
days or weeks, he is induced to sign a statement that he is "better," 
and to recommend their treatment; and soon afterward he finds he 
has wasted money, and time of curability, and been made to lure 
others to adopt the same deceptive treatment. These remarks apply 
with still greater force to treatment based chiefly on the use of elec- 
tricity. 

It is my rule to publish no case until the result of my treatment 
has been confirmed by the lapse of months or years, 

J. W. SYKES, M. D. 
191 Penn St., Pittsburgh, Pa. 



DURATION OF TREATMENT. 

No fact in the science of medicine is better established than that 
Chronic Diseases require Protracted Treatment. 

A condition of debility and disease into which the body has been 
sinking for years cannot usually be remedied in the brief space of a 
few weeks or months. This fact is recognized in many water cures- 
and hospitals where Chronic cases are not admitted except upon 
agreement that they remain for several months. 

In my own experience I have found the necessity for Chronic 
treatment, one of the greatest obstacles to success, owing to the 
proneness of Invalids to omit remedial measures before health is 
fully restored. 

In the earlier years of my practice, I treated my patients by the 
month, the result was, that some of those who were better at the end 
of that period, would stop treatment hoping to continue to improve- 
without it, and, on discovering their mistake, would feel too much 
discouraged to resume. On the other hand, some who were not 
much improved would also discontinue when by perseverance they 
might have recovered. I then lengthened my first course of treat- 
ment to two months, and afterwards to three, — since which my reputa- 
tion for success has been greatly enhanced. 

In order to encourage patients to continue treatment as long as- 
may be necessary, I reduee my charges after the first three months- 
to what I may truthfully say is the actual cost to myself. In all 
cases where there is reasonable ground for hope, I decline to pre- 
scribe for less than a three months' course. 



Business Department. — Invalids desiring to consult me, shoul 
«if possible visit me at my office, 191 Penn Street, Pittsburgh, 
Pa. A single interview of half an hour or more, enables me to ex- 
amine the Lungs and Heart, and otherwise investigate the case 
thorough^, and at the same time make a complete memorandum of 
its symptoms, history, and general aspect ; I can then prescribe and 
furnish the apparatus and remedies necessary for a course of treatment 
'lasting two or three months. With these and full written and printed 
instructions concerning the general conduct of the treatment, the 
ipatient returns home, and is required to report by writing or calling, 
two or three times a month. 

My offce hours are from 9, a. m., to 4, p. m.; daily, except Sun- 
days. 

Treatment by Letter. — I have treated hundreds of cases by 
letter, with the most gratifying success, and invalids unable to visit 
ime can avail themselves of my treatment by writing to me for a list 
•of questions which will enable them to state their condition properly. 

The cases of Rev. T. M. Hartly, Rev. I. M. O'Flyng, and George 
Heyl, given in this pamphlet, were treated by letter. Nevertheless, 
'those who can visit me for personal examination should do so, when 
they can return and pursue the treatment at home, and, by reporting 
-to me often, can still be under my supervision and direction. 

Visits. — I take no cases of acute disease, requiring daily visiting, 
•and am very seldom absent from my office during my office houis; 
but, for a reasonable compensation, I will go by night to examine 
patients who cannot come to me, and who reside at points where the 
trip can be made between 3, p. m., 10, a. m. 

Terms. — All my cases require chronic or protracted treatment ; 
-and my charge for the first three months' course, including apparatus 
•and medicines, is $40 to $50 ; and when a second course is needed, 
the charge for this is $8 to $10 per month. 



Clergymen are charged half the above rates. 

Address — 

Dr. J. W. SYKES, 

191 Penn Street, Pittsburgh, Pa. 






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